Search › Georgia › 101YA0400X
Kawanza Roach
NPI 1891230579 · on the registry since 2017 · sole proprietor
Practice
- Address
- 233 Silver Spring St
Dallas, GA 30157 - Phone
- (678) 670-9639
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-04
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