Individual provider · NPI-1

Evelyn S Duckworth

Home Health Aide · Jonesboro, GA

NPI number1770091514
StatusActive
Last updated in NPPESJan 15, 2018

Details

NPI
1770091514
Entity type
Individual (NPI-1)
Name
Evelyn S Duckworth
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 15, 2018
Last updated
Jan 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

6768 Flint Pl
Jonesboro, GA 30236-1310

Phone 678-464-2839

Mailing address

6768 Flint Pl
Jonesboro, GA 30236-1310

Phone 678-464-2839

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