Individual
SHARISMA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3426 GLENWOOD RD, DECATUR, GA 30032-4408
(404) 458-5818
Mailing address
3774 RIVER ROCK, LITHONIA, GA 30058
(470) 350-4396
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
010088
GA
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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