Individual
NICOLE TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3370 TURNER HILL RD, LITHONIA, GA 30038-3222
(770) 538-1737
Mailing address
3370 TURNER HILL RD, LITHONIA, GA 30038-3222
(770) 538-1737
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
GA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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