Individual
KARANDA LYKE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 HOSPITAL RD, NEWNAN, GA 30263-1209
(678) 423-4610
(770) 254-7419
Mailing address
59 HOSPITAL RD, NEWNAN, GA 30263-1209
(678) 423-4610
(770) 254-7419
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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