Individual
FELICIA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 COUNTRY WALK, SOCIAL CIRCLE, GA 30025-5105
(404) 452-1564
Mailing address
60 COUNTRY WALK, SOCIAL CIRCLE, GA 30025-5105
(404) 452-1564
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
055213657
GA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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