Archer, Cori Mizell

Archer, Cori Mizell is an sole proprietor health care provider with primary practice located at 3690 Wisteria Ln Se , Smyrna GA 30082-3488. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Archer, Cori Mizell can be contacted via phone (501) 545-3837.

Contact Information

Primary practice address
3690 Wisteria Ln Se Smyrna GA 30082-3488
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1689298184
LBN Legal business name Archer, Cori Mizell
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2020
Last updated Jun 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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