Individual
DARIUS LORENZO GATEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 JEFFERSON ST, FITZGERALD, GA 31750-7837
(229) 457-5402
Mailing address
130 JEFFERSON ST, FITZGERALD, GA 31750-7837
(229) 457-5402
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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