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Individual

DR. CASANDRA M KIDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DRPH

Contact information

Practice address
3343 PEACHTREE RD NE STE 145-1207, ATLANTA, GA 30326-1085
(404) 791-7201
Mailing address
3343 PEACHTREE RD NE STE 145-1207, ATLANTA, GA 30326-1085
(833) 448-4636
(833) 448-4636

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
09/07/2022
Last updated
10/02/2024
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