Individual
REGENIA KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5595 HEARN RD, ELLENWOOD, GA 30294-3238
(404) 310-1901
(678) 545-6601
Mailing address
5595 HEARN RD, ELLENWOOD, GA 30294-3238
(404) 310-1901
(678) 545-6601
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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