Individual
DELISHA DANIEAL OFERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3570 WHEELER RD, AUGUSTA, GA 30909-1893
(706) 922-9627
Mailing address
3570 WHEELER RD, AUGUSTA, GA 30909-1893
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
AT001424
GA
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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