Individual
MR. GERRY JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4425 HOUSWORTH DR, LITHONIA, GA 30038-4637
(404) 429-5414
Mailing address
4425 HOUSWORTH DR, LITHONIA, GA 30038-4637
(404) 429-5414
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RIM5599
GA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
About Stedi
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