Individual provider · Type 1 NPI

Connettia Pemberton

Driver · Macon, GA

NPI number 1184532301 Active

Practice location

2792 Jordan Ave
Macon, GA 31217-4918

Call (404) 852-9790 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X045318498 (GA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1184532301

Connettia Pemberton's National Provider Identifier is 1184532301, issued on Aug 29, 2026. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Macon, GA. The record was last updated on Sep 3, 2026.