Individual
MANDI CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR, SUITE 390, CUMMING, GA 30041-7668
(404) 256-1311
(404) 705-2774
Mailing address
975 JOHNSON FY RD NE, SUITE 100, ATLANTA, GA 30342-1619
(404) 256-1311
(404) 705-2774
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
RN165071
GA
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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