Individual
KADIAN K MAGERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6021 SIMONE ST, ACWORTH, GA 30101-0049
(678) 820-1172
Mailing address
6021 SIMONE ST, ACWORTH, GA 30101-0049
(678) 820-1172
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN315764
GA
363LP0200X
Pediatric Nurse Practitioner
3-002437
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
RN315764
GA
Other
Enumeration date
01/16/2024
Last updated
08/24/2025
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