SearchGeorgia171M00000X

Coretta King-Braswell

NPI 1487196044 · on the registry since 2016 · sole proprietor

Practice

Address
2822 Woodhollow Ln
Jonesboro, GA 30236
Phone
(386) 338-8222

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-11-14

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