Organization
FALL AND RESTORE LLC
Active
Organization
FALL AND RESTORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE HOGUE KINAHAN NP (MEMBER)
(404) 984-0032
Entity
Organization
Contact information
Practice address
7938 STRATFORD LN, SANDY SPRINGS, GA 30350-4159
(404) 984-0032
Mailing address
7938 STRATFORD LN, SANDY SPRINGS, GA 30350-4159
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN087295
GA
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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