Individual
KENYATTA MERRIWEATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
367 ATHENS HWY STE 1800, LOGANVILLE, GA 30052-8293
(770) 554-2999
(770) 679-6390
Mailing address
367 ATHENS HWY STE 1800, LOGANVILLE, GA 30052-8293
(770) 554-2999
(770) 679-6390
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN224477
GA
Other
Enumeration date
10/01/2012
Last updated
07/21/2022
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