Individual
KAYLA POLLARD HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 836-9800
Mailing address
705 DIXIE ST, CARROLLTON, GA 30117-3818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN272988
GA
Other
Enumeration date
04/16/2024
Last updated
04/18/2024
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