Individual
CHARMISSE' MONTIKA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, EFDA
Contact information
Practice address
218 STONEWALL ST, CARTERSVILLE, GA 30120-3628
(770) 386-1907
Mailing address
980 RED BUD RD NE APT H7, CALHOUN, GA 30701-1994
(470) 861-6896
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN098665
GA
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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