Whalio Doctors

NPI 1023724408

Samira Outlaw, CNA

Practitioner Nurse's Aide Austell, GA

Practice location

Address
6117 Mulberry Street Ext, Austell, GA 30168-4107
Phone
(470) 484-9377

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence CN0030078606 (GA)

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.