Individual
CHERIE LASHAWN LILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2745 OLD HAPEVILLE RD SW, ATLANTA, GA 30354-2073
(470) 815-5698
Mailing address
2745 OLD HAPEVILLE RD SW, ATLANTA, GA 30354-2073
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
093838
GA
Other
Enumeration date
11/23/2023
Last updated
11/23/2023
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