SearchGeorgia163W00000X

Taiye Enadeghe

NPI 1215619747 · on the registry since 2023 · sole proprietor

Practice

Address
5173 Rosewood Pl
Fairburn, GA 30213
Phone
(770) 217-0922
Fax
(866) 277-9769
Organisation at this address
Golden Living Healthcare Services, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-03

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