Individual
MARQUIS INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11330 WHITE BLUFF RD UNIT 37, SAVANNAH, GA 31419-1579
(912) 777-2865
Mailing address
11330 WHITE BLUFF RD UNIT 37, SAVANNAH, GA 31419-1579
(912) 777-2865
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
202183102250
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
922414946
—
GA
Enumeration date
02/20/2023
Last updated
02/20/2023
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