Individual
ALWARNA PASTEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PP
Contact information
Practice address
1419 HYDE COURT, HAMPTON, GA 30228
(770) 912-2535
Mailing address
1419 HYDE COURT, HAMPTON, GA 30228
(770) 912-2535
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
BL-15-41894
GA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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