Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
POONAM DATTA
ActivePOONAM DATTA is a Community Health Worker healthcare provider located in NORCROSS, Georgia. NPI 1912406307 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · NORCROSS, GA
Registration Details
- NPI Number
- 1912406307
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 12, 2018 (8.5411594819587 yrs)
- Last Updated
- May 14, 2021
Practice Information
- Address
-
5675 JIMMY CARTER BLVD STE 665ANORCROSS, GA, 300712955Browse GA providers · Browse ZIP 30071
- Phone
- 7703174533
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.