Most Relevant Information
Provider Data
| NPI Number: | 1003312257 |
| Provider Name: | ANGELA SHERRELL DANFORTH |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN247888 |
Most Important Dates
| Enumeration Date: | 04/04/2018 |
| Last Updated: | 10/03/2024 |
Provider Practice Location
5220 JIMMY LEE SMITH PARKWAY SUITE 104 #346
HIRAM
GA
301412853
Practice Location Phone/Fax
| Phone: | 4706160086 |
| Fax: | 2133196947 |
Provider Mailing Location
5220 JIMMY LEE SMITH PARKWAY SUITE 104 #346
HIRAM
GA
301412853
Provider Mailing Phone/Fax
| Phone: | 4706160086 |
| Fax: | 2133196947 |