Individual
LILLIAN WOMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3232 UNION CHURCH ROAD, WARTHEN, GA 31094
(478) 363-9381
Mailing address
3232 UNION CHURCH ROAD, WARTHEN, GA 31094
(478) 363-9381
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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