Individual
NEKEISHA SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 SOUTHWIND LN, NEWNAN, GA 30265-5559
(678) 816-9955
Mailing address
222 SOUTHWIND LN, NEWNAN, GA 30265-5559
(678) 816-9955
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
GA
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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