Individual
JANIE MAE SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7177 SWEET GUM CT, LITHONIA, GA 30058-2993
(770) 572-9842
Mailing address
7177 SWEET GUM CT, LITHONIA, GA 30058-2993
(770) 572-9842
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
22046011
GA
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
About Stedi
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