Erica Breann Mccrae
Homemaker in Mcdonough, GA. Individual provider (NPI-1).
NPI number1447937909
StatusActive
Last updated in NPPESJul 5, 2023
Details
- NPI
- 1447937909
- Entity type
- Individual (NPI-1)
- Name
- Erica Breann Mccrae
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2023
- Certification date
- Jul 5, 2023
- Last updated
- Jul 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | PHCP011550 | GA | Yes |
| 374U00000X | Home Health Aide | PHCP011550 | GA | |
| 376K00000X | Nurse's Aide | PHCP011550 | GA |
Practice location
808 Pavilion Ct Ste AMcdonough, GA 30253-6666
Phone 678-304-6481
Mailing address
808 Pavilion Ct Ste AMcdonough, GA 30253-6666
Phone 678-304-6481
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