Individual
ANTINEKA NICHOLE MCGHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
961 JIMSON DR SE, CONYERS, GA 30013-2061
(470) 538-0183
Mailing address
961 JIMSON DR SE, CONYERS, GA 30013-2061
(470) 538-0183
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
881587
GA
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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