Individual provider · Type 1 NPI
Janie Mae Samuel
Private Vehicle · Lithonia, GA
NPI number
1417697186
Active
Practice location
7177 Sweet Gum Ct
Lithonia, GA 30058-2993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | 22046011 (GA) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Other private vehicle providers in Lithonia
About NPI 1417697186
Janie Mae Samuel's National Provider Identifier is 1417697186, issued on Mar 31, 2022. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Lithonia, GA. The record was last updated on Mar 31, 2022.