Individual
TALLULAKIE WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
423 CINDY DR SE, CONYERS, GA 30094-2505
(770) 273-3538
Mailing address
423 CINDY DR SE, CONYERS, GA 30094-2505
(770) 273-3538
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
21131348
GA
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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