Individual
MS. JUANITA MCKINNON LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1701 HARDEE AVE, FORT MCPHERSON, GA 30330
(404) 464-0242
(404) 464-0249
Mailing address
561 WOODS DR NW, ATLANTA, GA 30318-6105
(404) 794-7872
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN030849
GA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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