Individual
KANISHA LASHAE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 PARKWAY PL SE, MARIETTA, GA 30067-8200
(229) 894-3355
(229) 894-3355
Mailing address
1800 PARKWAY PL SE, MARIETTA, GA 30067-8200
(229) 894-3355
(229) 894-3355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN218210
GA
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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