Individual
MRS. KISSEY K SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCNA
Contact information
Practice address
2220 MCMILLAN DR, MACON, GA 31216-5854
(404) 402-3759
Mailing address
2220 MCMILLAN DR, MACON, GA 31216-5854
(404) 402-3759
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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