NPI 1033910898

Antionete Lasha Irvin

Practitioner Private Vehicle Palmetto, GA

Practice location

Address: 519 Snowfall Ter, Palmetto, GA 30268-1401
Phone: (404) 749-0952

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1033910898
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2025
Record last updated: 19 Mar 2025

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.