NPI 1023724408
Samira Outlaw, CNA
Practice location
- Address
- 6117 Mulberry Street Ext, Austell, GA 30168-4107
- Phone
- (470) 484-9377
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1023724408
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jan 2023
- Record last updated
- 27 Jan 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.