NPI 1073273231

Alfred Antonio Ware, NEMT

Practitioner Driver Lagrange, GA

Practice location

Address: 107 Revere CT, Lagrange, GA 30241-1725
Phone: (706) 416-2888

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 055043348 (GA)

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Registry record

NPI: 1073273231
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2021
Record last updated: 29 Dec 2021

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.