Individual
CASSANDRA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 ARROWHEAD BLVD, JONESBORO, GA 30236-1169
(478) 447-1971
Mailing address
6800 BELLS LANDING WAY, REX, GA 30273-2242
(478) 447-1971
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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