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Contact Information

KIZZIE I ENOCH
130 BIRCH ST
HIRAM, GA30141-4171
 Phone: 770-367-5357
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for KIZZIE I ENOCH · (Female)

NPI Number 1992763890
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2006
Last updated 03/15/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # LPN078944
  • LA License # 910718
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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