Individual
CHARELLE LENITA CAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGPCNP-BC
Contact information
Practice address
5910 SUWANEE DAM RD # 200, SUGAR HILL, GA 30518-5648
(678) 714-3053
Mailing address
305 COLLINS INDUSTRIAL WAY APT 2313, LAWRENCEVILLE, GA 30043-6759
(859) 312-9587
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
RN306972
GA
Other
Enumeration date
10/06/2021
Last updated
06/11/2024
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