Individual
KAYLA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 845-4045
Mailing address
92 GORDON OAKS WAY, MORELAND, GA 30259-2854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN248945
GA
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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