Individual
KINGS WOGHIREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2470 WINDY HILL RD SE, 222, MARIETTA, GA 30067-8613
(678) 858-1843
(678) 574-0086
Mailing address
2470 WINDY HILL RD SE, 222, MARIETTA, GA 30067-8613
(678) 858-1843
(678) 574-0086
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
O33R0070
GA
Other
Enumeration date
03/08/2007
Last updated
07/09/2007
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