Individual
MRS. LYVETTA WALKER MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Contact information
Practice address
187 HIGHTOWER DR, SUITE B, MARTINEZ, GA 30907-8405
(706) 823-9973
Mailing address
3781 FREEMAN DR, MARTINEZ, GA 30907-9578
(706) 495-6166
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CO072859
GA
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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