Denik Camon Revels
Contractor in Thomasville, GA. Individual provider (NPI-1).
NPI number1871069807
StatusActive
Last updated in NPPESOct 17, 2018
Details
- NPI
- 1871069807
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Denik Camon Revels
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2018
- Last updated
- Oct 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
186 Hidden Acres DrThomasville, GA 31757-1521
Phone 229-561-2837
Mailing address
186 Hidden Acres DrThomasville, GA 31757-1521
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