Individual
NICOLE ANTOINETTE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 ROSELANE ST NW, MARIETTA, GA 30060-6940
(770) 792-9800
Mailing address
1518 EZRA CHURCH DR NW, ATLANTA, GA 30314-2137
(404) 205-2963
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0030055145
GA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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