Individual
WANDA SUE CUPITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
2135 HIGHWAY 212, COVINGTON, GA 30016-6084
(404) 757-9843
Mailing address
2135 HIGHWAY 212, COVINGTON, GA 30016-6084
(404) 757-9843
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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