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Individual

JAMEEL CARLOS DURRAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2900 CHAMBLEE TUCKER RD, ATLANTA, GA 30341-4100
(404) 798-4718
Mailing address
1531 HOLCOMB BRIDGE RD APT B, PEACHTREE CORNERS, GA 30092-3208
(470) 924-7142

Taxonomy

Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
052186200
GA
343900000X
Non-emergency Medical Transport (VAN)
Primary
052186200
GA
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
01/01/2024
Last updated
01/01/2024
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