Individual
KAPPITOLA MELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1905 GORDON HWY, AUGUSTA, GA 30909-4406
(762) 328-9846
Mailing address
PO BOX 9421, AUGUSTA, GA 30916-9421
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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