Individual
KALA WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
186 MACKLIN LN, NORTH AUGUSTA, SC 29860-9012
(706) 414-5912
Mailing address
186 MACKLIN LN, NORTH AUGUSTA, SC 29860-9012
(706) 414-5912
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
223528
SC
163WC0200X
Critical Care Medicine Registered Nurse
RN222910
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
222910
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA222910
GA
Other
Enumeration date
12/28/2015
Last updated
03/09/2026
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