Kadasha Fairclough, RN
NPI #1184260275 in Loganville, Georgia
Provider Information
- NPI Number
- 1184260275
- Entity Type
- Individual
- Name
- Kadasha Fairclough, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- RN
- Enumeration Date
- Nov 23, 2019
- Last Updated
- Dec 6, 2024
Practice Location
- Address
- 1340 ALEXANDER XING
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-3985
- Phone
- (404) 916-9226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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