Individual
MR. DEMOND TIMBERLAKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NBCHWC
Contact information
Practice address
289 S CULVER ST, LAWRENCEVILLE, GA 30046-4805
(800) 516-0975
Mailing address
1391 HARTFORD AVE SW, ATLANTA, GA 30310-4234
(919) 608-6823
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A3399018
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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