Individual
CHANNELLE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 CARPENTER DR, ATLANTA, GA 30328-4931
(678) 460-0345
Mailing address
2158 CUMBERLAND PKWY SE APT 12102, ATLANTA, GA 30339-4582
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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