Individual
CAMELIA GREGORY REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
398 DARBYS RUN CT, HIRAM, GA 30141-4140
(404) 775-0252
Mailing address
398 DARBYS RUN CT, HIRAM, GA 30141-4140
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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