Derrickah Tiarah Gardner

NPI #1548905946 in Riverdale, Georgia

Provider Information

NPI Number
1548905946
Entity Type
Individual
Name
Derrickah Tiarah Gardner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Apr 29, 2022
Last Updated
Aug 6, 2024

Practice Location

Address
1161 PINEGLEN DR
State
Georgia
ZIP Code
30296-3223
Phone
(251) 382-3621

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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