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Siedah Canty
NPI 1275225179 · on the registry since 2023
Practice
- Address
- 109 Carrie Mae Ln
Stockbridge, GA 30281 - Phone
- (678) 755-3130
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 3747P1801X
374J00000X
376K00000X
172V00000X
376K00000X - Licence states on file
- GA, TN, OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-22
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