Individual
MICHELL ANNE CAPODANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1917 KENSINGTON HIGH ST SW, LILBURN, GA 30047-2523
(404) 694-1445
(770) 686-3630
Mailing address
1917 KENSINGTON HIGH ST SW, LILBURN, GA 30047-2523
(404) 694-1445
(770) 686-3630
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010759
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010759
PHCP
GA
Enumeration date
01/14/2021
Last updated
01/14/2021
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