NPI 1023742921

Passion Wortham, MEDICALASSISTANTMA

Practitioner Personal Care Attendant Riverdale, GA

Practice location

Address: 6603 Church St APT D4, Riverdale, GA 30274-2204
Phone: (404) 477-9199
Mailing address: 35 Ivy Springs Dr, Newnan, GA 30265-2234

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

Other Technician providers in Georgia →

Registry record

NPI: 1023742921
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2022
Record last updated: 15 Jul 2022

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.