Individual
LAVISTA NECHON ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
746 SWEETBRIAR CIR, THOMASTON, GA 30286-7013
(478) 957-5132
Mailing address
746 SWEETBRIAR CIR, THOMASTON, GA 30286-7013
(478) 957-5132
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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