SearchGeorgia376K00000X

Samira Outlaw, CNA

NPI 1023724408 · on the registry since 2023 · sole proprietor

Practice

Address
6117 Mulberry Street Ext
Austell, GA 30168
Phone
(470) 484-9377

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia