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ATLEMISIA M ANDERSON

>> Non-emergency Medical Transport (VAN) >> Transportation Services

Registrant NPI Number: 1619216637

Individual Registrant:
 ATLEMISIA M ANDERSON 
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

Contact information for business:
213 PALM ISLAND DR  THOMASVILLE, GA 31757-4036 US
Tel: 229-379-1007  Fax: 229-236-0356

Registration Information:
NPI: 1619216637
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y343900000XTransportation Services
Non-emergency Medical Transport (VAN)
GA453186031

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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