Individual
DAVID RICHARDSON LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 MARTIN LUTHER KING JR RD, IRWINTON, GA 31042-2839
(478) 290-5485
Mailing address
205 MARTIN LUTHER KING JR RD, IRWINTON, GA 31042-2839
(478) 290-5485
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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