NPI 1013573955

Glenda Lynita Everson

Practitioner Contractor Sylvester, GA

Practice location

Address: 317 E Hobson St, Sylvester, GA 31791-3812
Phone: (229) 272-2284

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 054361664 (GA)

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Registry record

NPI: 1013573955
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2019
Record last updated: 16 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.