Individual
CAROLYN FAYE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7392 SKYLANE DR, RIVERDALE, GA 30296-1439
(404) 259-1331
Mailing address
6992 CHESWICK DR, RIVERDALE, GA 30296-2258
(404) 955-1463
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN128056
GA
310400000X
Assisted Living Facility
Primary
010208
GA
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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