Individual
MRS. KEMISHA M MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
440 WINN WAY, DECATUR, GA 30030-1715
(404) 508-7834
(404) 508-7879
Mailing address
50 LASSITER DR, COVINGTON, GA 30016-1389
(404) 457-8770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN170401
GA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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