# GRACE WALKERS CENTER TRANSPORTATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336677616
- **Authorized official:** MRS. TONYA MICHELLE COOK (OWNER)
- **Authorized official phone:** (678) 789-2006

## Contact information

- **Practice address:** 3683 WILLOW TREE CIR, DOUGLASVILLE, GA 30135-7302
- **Practice address phone:** (678) 789-2006
- **Mailing address:** 3683 WILLOW TREE CIR, DOUGLASVILLE, GA 30135-7302
- **Mailing address phone:** (678) 789-2006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347E00000X | Transportation Broker | — | GA | Yes |

## Other

- **Enumeration date:** 05/31/2017
- **Last updated:** 07/21/2022