Organization
ABOVE AVERAGE PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA WOODS (ECO)
(678) 527-4451
Entity
Organization
Contact information
Practice address
3672 SHALE LN SE, CONYERS, GA 30013-5112
(678) 527-4451
Mailing address
PO BOX 82854, CONYERS, GA 30013-9442
(678) 527-4451
(678) 806-4828
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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