Organization
FLAMINGO MOJO LLC
Active
Organization
FLAMINGO MOJO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI HUDSON HILL (OWNER)
(678) 761-9479
Entity
Organization
Contact information
Practice address
510 E CHEROKEE CT, WOODSTOCK, GA 30188-1964
(678) 761-9479
Mailing address
510 E CHEROKEE CT, WOODSTOCK, GA 30188-1964
(678) 761-9479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
08/19/2024
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