Individual
AHTYANNA KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
626 DALLAS HWY, VILLA RICA, GA 30180-1209
(770) 459-9378
Mailing address
3725 PRINCETON LAKES PKWY SW APT 1002, ATLANTA, GA 30331-5533
(229) 854-3890
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN308162
GA
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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