Individual
MS. FRANCES ATWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 HARBOUR LAKE DR, FAYETTEVILLE, GA 30215-6638
(678) 532-9690
Mailing address
133 HARBOUR LAKE DR, FAYETTEVILLE, GA 30215-6638
(678) 532-9690
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-2147591
—
GA
Enumeration date
02/13/2021
Last updated
02/13/2021
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