Organization
A DEDICATED NURSE HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMELIA FAY FULLER LPN (CEO)
(813) 900-9900
Entity
Organization
Contact information
Practice address
863 FLAT SHOALS RD SE STE 232, CONYERS, GA 30094-6633
(404) 844-8019
Mailing address
863 FLAT SHOALS RD SE STE 232, CONYERS, GA 30094-6633
(404) 844-8019
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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