Individual
ANTHONY ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6251 SMITHPOINT DR. BLDG B, PEACHTREE CORNERS, GA 30093
(404) 832-5030
Mailing address
6251 SMITHPOINT DR. BLDG B, PEACHTREE CORNERS, GA 30093
(404) 832-5030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
GA
Enumeration date
11/08/2019
Last updated
11/08/2019
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