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Contact Information

LOLITA C JERRELL, BSN
4183 LEOLA RD
DOUGLASVILLE, GA30135-4215
 Phone: 404-642-4995
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hemodialysis

163WH0500X
Indicates primary specialty

NPI Profile & details for LOLITA C JERRELL · (Female)

NPI # 1316523368
Status Active
Credentials BSN
Entity Individual
Enumeration date 03/21/2021
Last updated 03/21/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 255603
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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