Individual
MR. JOSH MAURICE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3230 HIGHWAY 42, SUITE F, STOCKBRIDGE, GA 30281-4667
(770) 389-9110
(678) 302-7675
Mailing address
3230 HIGHWAY 42, SUITE F, STOCKBRIDGE, GA 30281-4667
(770) 389-9110
(678) 302-7675
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
075-09
GA
Other
Enumeration date
08/31/2010
Last updated
09/14/2010
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