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Contact Information

ATLANTA FOOT FAIRY LLC
4810 MOCKINGBIRD LN
DOUGLASVILLE, GA30135-3616
 Phone: 678-544-6179
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for ATLANTA FOOT FAIRY LLC

NPI # 1447144407
LBN Legal business name ATLANTA FOOT FAIRY LLC
Authorized official CHANTELLE MORRISON-KOUROUMA - (FOUNDER & CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2025
Last updated 06/04/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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