Most Relevant Information
Provider Data
NPI Number: | 1003537556 |
Provider Name: | DELISHA DANIEAL OFERRELL ATC |
Entity Type: | Individual |
Taxonomy Code: | 405300000X |
Specialty: | Prevention Professional |
License Number: | AT001424 |
Most Important Dates
Enumeration Date: | 09/02/2022 |
Last Updated: | 09/02/2022 |
Provider Practice Location
3570 WHEELER RD
AUGUSTA
GA
309091893
Practice Location Phone/Fax
Phone: | 7069229627 |
Fax: |
Provider Mailing Location
3570 WHEELER RD
AUGUSTA
GA
309091893
Provider Mailing Phone/Fax
Phone: | |
Fax: |