Lonnie Steve Sapp JR. B.S.ED, PTA

NPI 1194986380 - Clinic/Center - 261QP2000X

NPI Details
NPI 1194986380
Gender Male
Enumeration Date 06/19/2008
Last Updated 06/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2700 N OAK ST BLDG A
VALDOSTA GA, 31602-5902, US
Phone (229) 249-9600
Fax
Business Location
2700 N OAK ST BLDG A
VALDOSTA GA, 31602-5902, US
Phone (229) 249-9600
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State Georgia
License Number 1220
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According to our database, Mr. Lonnie Steve Sapp JR. B.S.ED, PTA NPI is 1194986380, taxonomy code is 261QP2000X and license number is 1220, license state is located at Georgia. Lonnie Steve Sapp JR. B.S.ED, PTA physically located at 2700 N Oak St Bldg A, Valdosta GA, 31602-5902. NPI Number Lonnie Steve Sapp JR. B.S.ED, PTA has the Individual type.

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1194986380 NPI number is provided on an as is basis without warranty of any kind. 1194986380 is maintained by the National Plan & Provider Enumeration System. The contents of Lonnie Steve Sapp JR. B.S.ED, PTA are for informational purposes only.