Individual
CAMIA IMANI COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3492 HIGHWAY 5 APT 702, DOUGLASVILLE, GA 30135-6911
(404) 455-5851
Mailing address
3492 HIGHWAY 5 APT 702, DOUGLASVILLE, GA 30135-6911
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
374567876
GA
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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