Individual
CARLOS DESHAWN HUNDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
8 SHARPER CIR, VALDOSTA, GA 31601-6228
(229) 375-9398
(866) 484-8285
Mailing address
8 SHARPER CIR, VALDOSTA, GA 31601-6228
(229) 375-9398
(866) 484-8285
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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