Individual
KRISTEN WENGRYNIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
Mailing address
217 WILD FLOWER LN, CANTON, GA 30114-7177
(770) 861-3525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN295946
GA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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