Calistra Paul
Community Health Worker in Marietta, GA. Individual provider (NPI-1).
NPI number1265807366
StatusActive
Last updated in NPPESDec 1, 2015
Details
- NPI
- 1265807366
- Entity type
- Individual (NPI-1)
- Name
- Calistra Paul
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2015
- Last updated
- Dec 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
4940 Olde Mill DrMarietta, GA 30066-1167
Phone 770-317-2359
Mailing address
4940 Olde Mill DrMarietta, GA 30066-1167
Phone 770-317-2359
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All 8 Community Health Worker providers in Marietta · All 9,180 providers in Marietta
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