Individual
DEMETRIUS BATTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 GATESHEAD LN, LAWRENCEVILLE, GA 30043-6668
(770) 558-9596
Mailing address
840 GATESHEAD LN, LAWRENCEVILLE, GA 30043-6668
(770) 558-9596
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
45-4567251
GA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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