Individual
JESSICA MARIE WOMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
271 SUBURBAN DR, SANDERSVILLE, GA 31082-4085
(706) 669-9111
Mailing address
271 SUBURBAN DR, SANDERSVILLE, GA 31082-4085
(706) 669-9111
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
050557322
GA
343900000X
Non-emergency Medical Transport (VAN)
—
GA
Other
Enumeration date
10/11/2012
Last updated
03/12/2024
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