Individual
RAMONA MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 LAKEBEND DR, LAWRENCEVILLE, GA 30045-9784
(404) 293-8051
Mailing address
1113 LAKEBEND DR, LAWRENCEVILLE, GA 30045-9784
(404) 293-8051
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
054248216
GA
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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