Individual
JACQUELINE TONYA RAWLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1218 ELIAS STA, THOMSON, GA 30824-4173
(229) 364-3054
Mailing address
1218 ELIAS STA, THOMSON, GA 30824-4173
(229) 364-3054
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
8505
GA
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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