ERIC LAROY DONALD

THOMASVILLE, GA
NPI1992025803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: FL  691097196)
Additional Taxonomies172V00000X Community Health Worker
(Licence: FL  691097198)
Enumeration Date2010-06-03
Last Update Date2010-06-03
Business Address
Mr. ERIC LAROY DONALD
716 WESTOVER AVE
THOMASVILLE, GA 31792-6333
Phone number: 229-403-2456
Mailing Address
Mr. ERIC LAROY DONALD
716 WESTOVER AVE
THOMASVILLE, GA 31792-6333
Phone number: 229-403-2456