Individual
PASHUN SAYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
368 EAGLES FLIGHT LN, RIVERDALE, GA 30274-5270
(770) 309-6253
Mailing address
368 EAGLES FLIGHT LN, RIVERDALE, GA 30274-5270
(770) 309-6253
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
GA
3747P1801X
Personal Care Attendant
—
GA
374U00000X
Home Health Aide
—
GA
376K00000X
Nurse's Aide
Primary
CN0014201753
GA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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