Individual
RENIKA L DIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 5TH AVE, THOMASVILLE, GA 31792-7009
(229) 200-1802
Mailing address
PO BOX 6714, THOMASVILLE, GA 31758-6714
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
GA
171W00000X
Contractor
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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