Individual
EVELYN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2236 GREENWOOD MEADOWS LN, DOUGLASVILLE, GA 30135-1335
(404) 551-0011
Mailing address
2236 GREENWOOD MEADOWS LN, DOUGLASVILLE, GA 30135-1335
(404) 551-0011
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030018333
GA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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