Individual
PRIMROSE WAHOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1607 BARRINGTON VW, STONE MOUNTAIN, GA 30087-1846
(678) 582-9317
(678) 705-3735
Mailing address
1607 BARRINGTON VW, STONE MOUNTAIN, GA 30087-1846
(678) 582-9317
(678) 705-3735
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN071270
GA
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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