Individual
KORISHA RAMJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 ADDY LN, STOCKBRIDGE, GA 30281-7984
(770) 990-5533
Mailing address
129 ADDY LN, STOCKBRIDGE, GA 30281-7984
(770) 990-5533
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2188
GA
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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