Individual
TAMEKIA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
861 FRANK RD, FITZGERALD, GA 31750-9049
(229) 425-6791
Mailing address
861 FRANK RD, FITZGERALD, GA 31750-9049
(229) 425-6791
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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