Individual
TEQUELLA MUHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
403 GRIER DR, LOCUST GROVE, GA 30248-6002
(901) 859-9690
Mailing address
403 GRIER DR, LOCUST GROVE, GA 30248-6002
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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