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Search › Georgia › 363LP2300X

Haika Kisamo

NPI 1528741436 · on the registry since 2023 · sole proprietor

Practice

Address
811 Kennesaw Ave Nw
Marietta, GA 30060
Phone
(770) 422-2451
Organisation at this address
Mga, Llc
Lp Marietta Llc
Marietta Ga Opco Llc
Boella Enterprises,Llc
Signature Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-08

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