Individual
KALEMAH S WOOLFOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1400
Mailing address
390 PARK HAVEN LN, TYRONE, GA 30290-1723
(404) 964-8328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN195585
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127702A
—
GA
05
—
003127702B
—
GA
05
—
003127702C
—
GA
Enumeration date
07/09/2012
Last updated
06/24/2021
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