Individual
SANDRA ELIZABETH MCINTOSH-TAKORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
189 PROFESSIONAL CT SE STE 400, CALHOUN, GA 30701-7053
(706) 624-1130
Mailing address
189 PROFESSIONAL CT SE STE 400, CALHOUN, GA 30701-7053
(706) 624-1130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN185100-NP
GA
Other
Enumeration date
09/20/2018
Last updated
10/29/2019
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