Provider Demographics
NPI:1215795877
Name:PIERCE, LAMIA MICHELE (CNA)
Entity type:Individual
Prefix:
First Name:LAMIA
Middle Name:MICHELE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 PARK PL S
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-5439
Mailing Address - Country:US
Mailing Address - Phone:678-273-7880
Mailing Address - Fax:
Practice Address - Street 1:5500 PARK PL S
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-5439
Practice Address - Country:US
Practice Address - Phone:610-969-9454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0028859140376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide