Individual
MISS SAVANNAH ALAINE HAGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 HINES WAY, LOCUST GROVE, GA 30248-2193
(470) 526-4406
Mailing address
712 HINES WAY, LOCUST GROVE, GA 30248-2193
(470) 526-4406
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
GA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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