Individual
KAYSE DEANN LAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 WAGON WHEEL RD, SPARKS, GA 31647-3404
(229) 392-3898
Mailing address
2050 WAGON WHEEL RD, SPARKS, GA 31647-3404
(229) 392-3898
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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