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Individual

GWENDOLYN GREATHEART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
912 PINELAND AVE APT 50, HINESVILLE, GA 31313-6058
(404) 740-5249
Mailing address
912 PINELAND AVE APT 50, HINESVILLE, GA 31313-6058
(404) 740-5249

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
025727133
GA

Other

Enumeration date
12/13/2022
Last updated
12/13/2022
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