Individual
MS. SAMANTHA MINDY HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11 OAKRIDGE DRIVE, CARROLLTON, GA 30116
(678) 855-4410
Mailing address
PO BOX 1523, CARROLLTON, GA 30112
(678) 855-4410
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN048381
GA
3747P1801X
Personal Care Attendant
LPN048381
GA
376J00000X
Homemaker
LPN048381
GA
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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