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Individual

OCTAVIUS VARNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9582 TARA BLVD, JONESBORO, GA 30236-6089
(678) 472-5193
Mailing address
1214 BROCKETT WAY, CLARKSTON, GA 30021-3055
(678) 472-5193

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
056040015
GA

Other

Enumeration date
05/26/2025
Last updated
05/26/2025
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