Organization
CRUMBSNATCHERSLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANETREIAS WATKINS (OWNER)
(478) 895-0144
Entity
Organization
Contact information
Practice address
114 CARAVELLE CT, BYRON, GA 31008-3817
(478) 895-0144
Mailing address
114 CARAVELLE CT, BYRON, GA 31008-3817
(478) 895-0144
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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