Individual
MR. LAMAR TRAVIS WANSLEY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3485 S PUCKETT RD, BUFORD, GA 30519-4020
(678) 835-4800
Mailing address
125 BATTEN BOARD WAY, WOODSTOCK, GA 30189-3778
(404) 512-6722
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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