Individual
REGINA KORANTENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 SCENIC HWY S STE 214, SNELLVILLE, GA 30078-3115
(770) 559-9904
Mailing address
2330 SCENIC HWY S STE 214, SNELLVILLE, GA 30078-3115
(770) 559-9904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN266551
GA
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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