Individual
LARRY SHAKIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3483 EAGLE RISE, LITHONIA, GA 30038-3560
(470) 807-9529
Mailing address
3483 EAGLE RISE, LITHONIA, GA 30038-3560
(470) 807-9529
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1245843
GA
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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