Mazie Douglas

NPI #1124882428 in Lithonia, Georgia

Provider Information

NPI Number
1124882428
Entity Type
Individual
Name
Mazie Douglas
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health
Enumeration Date
Feb 8, 2024
Last Updated
Feb 8, 2024

Practice Location

Address
1918 PANOLA RD
State
Georgia
ZIP Code
30058-5520
Phone
(404) 597-2203

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home
Home Health

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