| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TAKEESHA CARTER | 1538874516 | 2023-01-13 |
Takeesha Carter is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538874516. Registration indicates Takeesha Carter is a provider of services with a specialization in Nursing Service Related Providers, Nurses Aide (Nurses Aide, ) (Nurses Aide, Nursing Service Related Providers) (Nurses Aide, )
| Entity Type | Individual |
| Provider Name | Takeesha Carter |
| Practice Office Address | 1533 OGLETHORPE DR HEPHZIBAH, GA US |
| Practice Office Telephone | 6147415799 |
| Mailing Address | 1533 OGLETHORPE DR HEPHZIBAH, GA 308150015 US |
| Business Telephone | 6147415799 |
| Code | Practice | License No State |
|---|---|---|
| 376K00000X PRIMARY | Nursing Service Related Providers Nurses Aide Nurses Aide Nurses Aide Nursing Service Related Providers Nurses Aide | CN0030083971
GA |