Individual
SHONDRIA JA'NET TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 LEVISTA DR, LOCUST GROVE, GA 30248-7076
(678) 822-7269
Mailing address
1012 LEVISTA DR, LOCUST GROVE, GA 30248-7076
(678) 822-7269
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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