Individual
VALEDA ANN OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7317 WAGON WHEEL CT, JONESBORO, GA 30236-2547
(678) 698-0200
Mailing address
7317 WAGON WHEEL CT, JONESBORO, GA 30236-2547
(678) 698-0200
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
052709073
GA
Other
Enumeration date
05/02/2022
Last updated
06/07/2022
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