Individual
MS. SACOIA TRAINS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1860 NEIGHBORHOOD WALK, MCDONOUGH, GA 30252-8643
(478) 919-3889
Mailing address
1860 NEIGHBORHOOD WALK, MCDONOUGH, GA 30252-8643
(478) 919-3889
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN074887
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN074887
LPN LICENSE
GA
Enumeration date
12/05/2014
Last updated
12/05/2014
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