Individual
MR. VERNTAVIUS JAYMEL DENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 NEW ST, EATONTON, GA 31024-7920
(254) 338-7623
Mailing address
200 NEW ST, EATONTON, GA 31024-7920
(254) 338-7623
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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