Individual
MS. NATASSIA N TRIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4197 PARKER TRL, HAHIRA, GA 31632-3261
(229) 474-8838
Mailing address
4197 PARKER TRL, HAHIRA, GA 31632-3261
(229) 474-8838
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
051010659
GA
342000000X
Transportation Network Company
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87-3935387
IRS
GA
05
—
87-3935387
—
GA
Enumeration date
05/17/2022
Last updated
05/17/2022
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