Provider Demographics
NPI:1093598930
Name:AFGHAN, AREAN
Entity Type:Individual
Prefix:
First Name:AREAN
Middle Name:
Last Name:AFGHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2183 SHETLEY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-5214
Mailing Address - Country:US
Mailing Address - Phone:678-215-8064
Mailing Address - Fax:
Practice Address - Street 1:5471 CUMMING HWY
Practice Address - Street 2:
Practice Address - City:SUGAR HILL
Practice Address - State:GA
Practice Address - Zip Code:30518-6910
Practice Address - Country:US
Practice Address - Phone:678-215-8064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator