Mother S Love Pwh Pllc
NPI #1932777315 in Brookhaven, Georgia
Provider Information
- NPI Number
- 1932777315
- Entity Type
- Organization
- Organization Name
- Mother S Love Pwh Pllc
- Primary Specialty
- Registered Nurse - Wound Care
- Enumeration Date
- Jun 14, 2021
- Last Updated
- Aug 4, 2021
Practice Location
- Address
- 4301 RESERVE DR NE
- City
- Brookhaven
- State
- Georgia
- ZIP Code
- 30319-5919
- Phone
- (470) 237-6708
Authorized Official
- Name
- PERSAPHONE HARRIS, NURSE PRACTITIONER
- Title
- OWNER
- Phone
- (470) 237-6708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Wound Care — Wound Care |
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