Individual
MRS. NICOLE ELISE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4910 JONESBORO RD, UNION CITY, GA 30291-2085
(770) 557-5144
Mailing address
6054 LAMP POST PL, COLLEGE PARK, GA 30349-8820
(770) 557-5144
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332H00000X
Eyewear Supplier
—
GA
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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