Individual
MRS. TONYA M FLEWELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1472 COUNTRY WOOD DR, HOSCHTON, GA 30548-6245
(770) 904-4467
Mailing address
1472 COUNTRY WOOD DR, HOSCHTON, GA 30548-6245
(770) 904-4467
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
GA
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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