Individual
MARYLOU KAUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1705
(404) 425-1678
(404) 325-7404
Mailing address
5505 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1705
(404) 425-1678
(404) 325-7404
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN077940
GA
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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