Individual
SANTRESSA ARMSTRONG-IDLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1372 RIVERVIEW RUN LN, SUWANEE, GA 30024-3887
(706) 207-4309
Mailing address
50 HERITAGE KEEP, COVINGTON, GA 30016-9149
(404) 556-7714
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003199065A
—
GA
Enumeration date
02/14/2018
Last updated
02/14/2018
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