Kizzie Idella Enoch, | |
130 Birch St, Hiram, GA 30141-4171 | |
(770) 367-5357 | |
Not Available |
Full Name | Kizzie Idella Enoch |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 130 Birch St, Hiram, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992763890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | 910718 (Louisiana) | Secondary |
164W00000X | Licensed Practical Nurse | LPN078944 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kizzie Idella Enoch, 130 Birch St, Hiram, GA 30141-4171 Ph: () - | Kizzie Idella Enoch, 130 Birch St, Hiram, GA 30141-4171 Ph: (770) 367-5357 |
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› Verified 7 days ago
Evelyne Ambroise, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Eagles Nest Dr, 0, Hiram, GA 30141 Phone: 770-635-8173 Fax: 770-635-8173 |