Individual
NIA KEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1055 HOWELL MILL RD NW STE 800, ATLANTA, GA 30318-5557
(470) 881-3193
Mailing address
1055 HOWELL MILL RD NW STE 800, ATLANTA, GA 30318-5557
(470) 881-3193
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000046501
GA
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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