At Your Service By Nicole | |
1440 Teaberry Cir Lawrenceville GA 30044-2123 | |
(678) 727-8384 | |
Not Available |
Full Name | At Your Service By Nicole |
---|---|
Speciality | Community/behavioral Health |
Location | 1440 Teaberry Cir, Lawrenceville, Georgia |
Authorized Official Name and Position | Nicole N Jackson (OWNER) |
Authorized Official Contact | 6787278384 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
At Your Service By Nicole 1440 Teaberry Cir Lawrenceville GA 30044-2123 Ph: (678) 727-8384 | At Your Service By Nicole 1440 Teaberry Cir Lawrenceville GA 30044-2123 Ph: (678) 727-8384 |
NPI Number | 1043961550 |
---|---|
Provider Enumeration Date | 01/16/2022 |
Last Update Date | 01/16/2022 |
Certification Date | 01/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043961550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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