Individual
DERRICK AND KELMEKA LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5071 IRVINE DR, DOUGLASVILLE, GA 30135-2042
(678) 218-9688
Mailing address
5071 IRVINE DR, DOUGLASVILLE, GA 30135-2042
(678) 218-9688
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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