Individual
MIDELYN LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
326 HEIGHTS PL, CANTON, GA 30114-3934
(678) 949-6900
(678) 949-6900
Mailing address
106 LEGEND CREEK DR, CANTON, GA 30114-4592
(678) 949-6900
(678) 493-6793
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN211270
GA
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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