Individual
SANDRA W PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4185 GLAD MORNING DR, ATLANTA, GA 30349-3902
(404) 202-2788
Mailing address
4185 GLAD MORNING DR, ATLANTA, GA 30349-3902
(404) 202-2788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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