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Santrell Hart-Moreland, O.D.,M.P.H

NPI 1376613968 · on the registry since 2006 · sole proprietor

Practice

Address
158 Fairview Rd
Suite B
Ellenwood, GA 30294
Phone
(678) 289-5835
Fax
(678) 289-5837
Organisation at this address
Myka Personal Care Home Inc.
Imani Health Systems Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152WC0802X
152WP0200X
133NN1002X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-11-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia