Individual
URSULA ANDRESS MACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2772 MAEVE CT, DACULA, GA 30019-6567
(770) 757-4929
Mailing address
2772 MAEVE CT, DACULA, GA 30019-6567
(770) 757-4929
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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