Mansour, Kaitlan
Mansour, Kaitlan is an individual health care provider with primary practice located at 5220 Jimmy Lee Smith Pkwy Ste 118 , Hiram GA 30141-2780. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mansour, Kaitlan can be contacted via phone (770) 222-1421.Contact Information
Primary practice address
5220 Jimmy Lee Smith Pkwy Ste 118
Hiram GA 30141-2780
Phone: (770) 222-1421
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH030706 | Georgia |
Profile Details
| NPI number | 1720683519 |
|---|---|
| LBN Legal business name | Mansour, Kaitlan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2020 |
| Last updated | Dec 1st, 2020 - about 5 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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