Individual
MARTIYA LACHAR DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 CHANDLER RD, STATESBORO, GA 30458-4970
(912) 478-1193
Mailing address
109 DEERWOOD DR SW, MILLEDGEVILLE, GA 31061-4525
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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