Unknown Individual – Licensed Practical Nurse, NPI 1912079732
Licensed Practical Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
99, Jesse Hill Junior Drive Southeast, Sweet Auburn, Old Fourth Ward, Atlanta, Fulton County, Georgia, 30303, United States
ROOM 402
ATLANTA, GA 303491064
Phone: (404) 730-1450
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30349)
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