Individual
ATREONA J FAVORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(229) 938-7274
Mailing address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MQUAN4430945
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/05/2021
Last updated
11/05/2021
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