Individual
MARY EVELYN HOSKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2A QUAIL RUN, DECATUR, GA 30035-4108
(678) 914-1114
Mailing address
2A QUAIL RUN, DECATUR, GA 30035-4108
(678) 914-1114
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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