NPI 1609545664

Everette Ligon, CPC

Practitioner Prevention Professional Peachtree Corners, GA

Practice location

Address: 5425 Peachtree Pkwy, Peachtree Corners, GA 30092-6536
Phone: (678) 879-9648

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 56734 (GA)

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Registry record

NPI: 1609545664
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2021
Record last updated: 12 Sep 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.