Individual
MS. TAWANA ENADEGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
505 REED ST SE, ATLANTA, GA 30312-2874
(404) 893-5695
(404) 893-5695
Mailing address
505 REED ST SE, ATLANTA, GA 30312-2874
(404) 893-5695
(404) 893-5695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN123164
GA
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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