Individual
TARREKA LOVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2515 GARNET AVE, RIVERDALE, GA 30296-6081
(470) 726-4040
Mailing address
2515 GARNET AVE, RIVERDALE, GA 30296-6081
(404) 808-8447
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
GA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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