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ATLEMISIA M ANDERSON
>> Non-emergency Medical Transport (VAN) >> Transportation ServicesRegistrant NPI Number: 1619216637
Individual Registrant: ATLEMISIA M ANDERSON
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1304 E JACKSON ST THOMASVILLE, GA 31792-4749 US
Tel: 229-379-1007 Fax: 229-236-0356
Tel: 229-379-1007 Fax: 229-236-0356
Contact information for business:
213 PALM ISLAND DR THOMASVILLE, GA 31757-4036 US
Tel: 229-379-1007 Fax: 229-236-0356
Tel: 229-379-1007 Fax: 229-236-0356
Registration Information:
NPI: 1619216637
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 343900000X | Transportation Services Non-emergency Medical Transport (VAN) | GA | 453186031 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
