Individual
YCHIVA HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6690 BENT CREEK DR, REX, GA 30273-2101
(678) 243-8342
Mailing address
PO BOX 629, REX, GA 30273-0629
(470) 716-5994
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
29668
GA
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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