Individual
JULMIA L PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 OAK MANOR DR, COVINGTON, GA 30016-0232
(678) 222-6330
Mailing address
200 OAK MANOR DR, COVINGTON, GA 30016-0232
(678) 222-6330
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
GA
Other
Enumeration date
04/01/2024
Last updated
04/10/2024
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