Micole Health Services Inc.

NPI #1396330171 in Lithonia, Georgia

Provider Information

NPI Number: 1396330171
Entity Type: Organization
Organization Name: Micole Health Services Inc.
Primary Specialty: Registered Nurse
Enumeration Date: Mar 4, 2021
Last Updated: Mar 4, 2021

Practice Location

Address: 4548 TULIP CT
City: Lithonia
State: Georgia
ZIP Code: 30038-6244
Phone: (678) 200-3363

Authorized Official

Name: MR. COLET IFEANYI ODENIGBO, MPA
Title: ADMINISTRATOR
Phone: (678) 200-3363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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