Individual
TAKELA L BUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
1117 VILLAGE MAIN ST, STONE MOUNTAIN, GA 30088-4540
(706) 254-6837
Mailing address
1117 VILLAGE MAIN ST, STONE MOUNTAIN, GA 30088-4540
(706) 254-6837
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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