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Individual

DESMOND NEWKIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
185 BRADFORD SQ STE C, FAYETTEVILLE, GA 30215-1932
(770) 780-5532
Mailing address
683POWNAL LN, HAMPTON, GA 30228
(770) 780-5532

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
12693
GA

Other

Enumeration date
08/22/2019
Last updated
08/22/2019
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