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Individual

ROSA LEE HEAD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
01/31/08

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
2302 CLANTON TER, DECATUR, GA 30034-1014
(404) 321-6111

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN106530
GA

Other

Enumeration date
06/15/2006
Last updated
07/08/2007
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