NPI 1215649280
Mia Christian Broughton Kendricks
Practice location
- Address
- 727 Bell Rd APT 1010, Antioch, TN 37013-8020
- Phone
- (404) 953-9153
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1215649280
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Dec 2022
- Record last updated
- 21 Dec 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.