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Wanda Kerns
NPI 1174048227 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1420 Whatley Mill Cir
Lawrenceville, GA 30045 - Phone
- (706) 908-2630
- Organisation at this address
- Amy Profesorsky
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Female
- Record last updated
- 2017-08-10
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