Organization
SYNICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANS MAKOLO FNP-BC (NURSE PRACTITIONER)
(678) 458-2126
Entity
Organization
Contact information
Practice address
4130 GRANDVIEW VISTA ST, CUMMING, GA 30028-4204
(678) 458-2126
Mailing address
4130 GRANDVIEW VISTA ST, CUMMING, GA 30028-4204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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