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Individual

MACY HAMILTON JEWETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
523 GROVE LN, KATHLEEN, GA 31047-3204
(229) 224-7386
Mailing address
523 GROVE LN, KATHLEEN, GA 31047-3204
(229) 224-7386

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
RBT-23-266243
GA

Other

Enumeration date
05/12/2023
Last updated
05/12/2023
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