Individual
MS. DANYALE LAKEYTA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 CALLAWAY LOOP, CONYERS, GA 30012-3670
(678) 682-5583
Mailing address
1520 CALLAWAY LOOP, CONYERS, GA 30012-3670
(678) 682-5583
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
052873964
GA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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