Individual
ANDREA HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 PERRINS LN, GROVETOWN, GA 30813-0467
(205) 215-9023
Mailing address
2205 PERRINS LN, GROVETOWN, GA 30813-0467
(205) 215-9023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN314990
GA
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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