Individual
TONYA PERNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 12TH ST, COLUMBUS, GA 31901-2522
(706) 494-7776
(706) 494-7072
Mailing address
3816 CASPIAN DR, COLUMBUS, GA 31906-6200
(706) 289-5776
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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