SearchGeorgia164W00000X

Kizzie Enoch

NPI 1992763890 · on the registry since 2006 · sole proprietor

Practice

Address
130 Birch St
Hiram, GA 30141
Phone
(770) 367-5357
Organisation at this address
Divinequest Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
164X00000X
Licence states on file
LA, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-15

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