Alfred Antonio Ware, NEMT

NPI #1073273231 in Lagrange, Georgia

Provider Information

NPI Number: 1073273231
Entity Type: Individual
Name: Alfred Antonio Ware, NEMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Credential: NEMT
Enumeration Date: Dec 29, 2021
Last Updated: Dec 29, 2021

Practice Location

Address: 107 REVERE CT
City: Lagrange
State: Georgia
ZIP Code: 30241-1725
Phone: (706) 416-2888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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