Individual
KRISTINA LOUISSAINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
290 COUNTRY CLUB DR STE 210, STOCKBRIDGE, GA 30281-9022
(770) 538-1723
(470) 202-9820
Mailing address
301 MANDY ROSE TRCE, STOCKBRIDGE, GA 30281-2353
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN219024
GA
Other
Enumeration date
01/03/2019
Last updated
11/05/2024
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