Individual
CANDIS LASHON LOVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4416 MUMFORD RD APT N2, MACON, GA 31204-3264
(404) 914-6339
(478) 216-5610
Mailing address
4416 MUMFORD RD APT N2, MACON, GA 31204-3264
(404) 914-6339
(478) 216-5610
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/25/2024
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