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Individual

KAWANA WIRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4828 ASHFORD DUNWOODY RD STE 100, ATLANTA, GA 30338-4833
(770) 238-2674
Mailing address
4828 ASHFORD DUNWOODY RD STE 100, ATLANTA, GA 30338-4833
(770) 238-2674

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN217921
GA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN217921
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN217921
GA

Other

Enumeration date
01/12/2026
Last updated
01/12/2026
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