Individual
IDA MCEACHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1469 METROPOLITAN PKWY SW, ATLANTA, GA 30310-4453
(404) 755-4420
Mailing address
1469 METROPOLITAN PKWY SW, ATLANTA, GA 30310-4453
(404) 755-4420
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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