Organization
KBSOLUTIONS AND BEHAVIORAL SUPPORT SERVICES
Active
Other names
KBS
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUANDA T SPINCE FNP (OWNER/NURSE PRACTITIONER)
(770) 376-7927
Entity
Organization
Contact information
Practice address
1775 PARKER RD SE STE 210, CONYERS, GA 30094-6654
(770) 376-7927
Mailing address
950 EAGLES LANDING PKWY STE 146, STOCKBRIDGE, GA 30281-7343
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003240710A
—
GA
Enumeration date
08/24/2020
Last updated
01/27/2021
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