Individual
MARK MOTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2247 DUNWOODY RD, LA FAYETTE, GA 30728-6025
(423) 991-0034
Mailing address
501 MIZE ST, LA FAYETTE, GA 30728-3346
(706) 638-5580
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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