Individual
MS. PATRICIA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
194 BOWEN RD, STOCKBRIDGE, GA 30281-1812
(404) 308-2453
Mailing address
194 BOWEN RD, STOCKBRIDGE, GA 30281-1812
(404) 308-2453
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN072916
GA
Other
Enumeration date
12/05/2010
Last updated
12/05/2010
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