Individual
MRS. SANDRA ANN GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
625 N 5TH AVE, CHATSWORTH, GA 30705-2416
(706) 270-5033
Mailing address
1401 APPLEWOOD DR STE 1, DALTON, GA 30720-2699
(706) 270-5033
(706) 270-5111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN042000
GA
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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