IndividualActive
Agnes Chimaobi
NPI 1730475799 · Psychiatric Residential Treatment Facility · Powder Springs, GA
Provider details
- NPI number
- 1730475799
- Entity type
- Individual
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN184666 (GA)
Specialties & taxonomies
Residential Treatment Facilities
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2326 Magaw Ln
Powder Springs, GA 30127-5629
Phone: (678) 361-8919
Approximate (ZIP-level) locationGet directions
Mailing address
2326 Magaw Ln
Powder Springs, GA 30127-5629
Registry dates
- Enumerated
- 2011-06-28
- Last updated
- 2024-06-25
- Certified
- 2024-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.