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Individual

MRS. VELMA R PEARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5781 STONE VALLEY DR, STONE MOUNTAIN, GA 30087-1840
(404) 935-9438
(404) 935-9438
Mailing address
2740 SHOEMAKER LN, SNELLVILLE, GA 30039-8097
(404) 287-4572
(678) 395-6622

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
171WV0202X
Vehicle Modifications Contractor
172A00000X
Driver
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
04/13/2011
Last updated
12/08/2011
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