Individual
MS. WYVONIA SATINA GARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1701 HARDEE AVE SW, FT MCPHERSON, GA 30330
(404) 464-4770
Mailing address
3217 MOUNT OLIVE RD, EAST POINT, GA 30344-5611
(404) 209-0534
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN05727
GA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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