MID PROVIDER INC
Nursing at Worthington Hills Dr, Roswell, GA

License number
Georgia RN133089
Category
Nursing
Type
Gerontology
Owner
Name: MRS. PATRICIA J NORRIS GNP
Title: DIRECTOR
Phone: (404) 229-0274
Address
Address
1230 Worthington Hills Dr, Roswell, GA 30076
National Provider ID: 1962621532
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MID PROVIDER, INC

PO Box 1971, Roswell, GA 30077

Registration:
Jul 8, 2003
State ID:
0337915
Business type:
Domestic Profit Corporation
CFO:
J. Patricia Norris (CFO), 5399 Northland Dr, Atlanta, GA 30342 (Physical)
Agent:
Patricia J. Parks,1230 Worthington Hl Dr, Roswell, GA 30076 (Physical)

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