Individual
MEOMBE LIKINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT(R)
Contact information
Practice address
247 ASHBURY CIR, DALLAS, GA 30157-1440
(470) 738-9609
Mailing address
247 ASHBURY CIR, DALLAS, GA 30157-1440
(470) 738-9609
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
22900
GA
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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