Individual
ONORIODE CHARLOTTE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1495 UNION STATION CT, LAWRENCEVILLE, GA 30045-3764
(678) 755-8555
Mailing address
1495 UNION STATION CT, LAWRENCEVILLE, GA 30045-3764
(678) 755-8555
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PHCP010797
GA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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