NPI 1801540273

Demetric Antron Tuggle

Practitioner Driver Douglasville, GA

Practice location

Address: 3480 Hearthstone Pl, Douglasville, GA 30135-7286
Phone: (470) 754-5144

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 040114469 (GA)

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Registry record

NPI: 1801540273
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2022
Record last updated: 4 Feb 2022

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.