Individual
MARY WASHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
563 LAKELAND PLZ, CUMMING, GA 30040-2784
(770) 781-9050
Mailing address
247 MOUNT PLEASANT CHURCH RD, CLEVELAND, GA 30528-2624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT002801
GA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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