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Individual

KAIYA HAMILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2109 FAIRBURN RD STE A, DOUGLASVILLE, GA 30135-1037
(770) 726-7958
Mailing address
7103 HILLCREST CHASE DR, AUSTELL, GA 30168-6692
(904) 982-0571

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN096986
GA

Other

Enumeration date
06/19/2019
Last updated
06/19/2019
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