Healthcare Provider Details

I. General information

NPI: 1982516951
Provider Name (Legal Business Name): PAULA M LETT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 ATLANTA RD SE STE 316
SMYRNA GA
30080-6443
US

IV. Provider business mailing address

2609 JUPITER DR SW
POWDER SPRINGS GA
30127-0100
US

V. Phone/Fax

Practice location:
  • Phone: 470-267-1678
  • Fax: 770-999-2848
Mailing address:
  • Phone: 330-388-6008
  • Fax: 770-999-2848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN229083
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: