ALEXIS JACOBY POWELL

MCDONOUGH, GA
NPI1467003475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: GA  44867)
Enumeration Date2019-09-23
Last Update Date2019-09-23
Business Address
ALEXIS JACOBY POWELL
3036 PALE MOON PL
MCDONOUGH, GA 30253-7496
Phone number: 678-643-0367
Mailing Address
ALEXIS JACOBY POWELL
3036 PALE MOON PL
MCDONOUGH, GA 30253-7496
Phone number: 678-643-0367
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