Healthcare Provider Details

I. General information

NPI: 1528999216
Provider Name (Legal Business Name): QUADIRAH BATTLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ETOWAH FERRY DR APT 3410
ACWORTH GA
30102-1821
US

IV. Provider business mailing address

1000 ETOWAH FERRY DR APT 3410
ACWORTH GA
30102-1821
US

V. Phone/Fax

Practice location:
  • Phone: 912-220-9871
  • Fax:
Mailing address:
  • Phone: 912-220-9871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: