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Organization
GRACE WALKERS CENTER TRANSPORTATION
Active
Organization
GRACE WALKERS CENTER TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA MICHELLE COOK (OWNER)
(678) 789-2006
Entity
Organization
Contact information
Practice address
3683 WILLOW TREE CIR, DOUGLASVILLE, GA 30135-7302
(678) 789-2006
Mailing address
3683 WILLOW TREE CIR, DOUGLASVILLE, GA 30135-7302
(678) 789-2006
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
GA
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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