Provider Information for 1386099794
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
TREVA SEXTON
Sex: Female
NPI: 1386099794
Last Updated: 2022-07-07
Certification Date: 2022-07-07
Certification Date: 2022-07-07
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386099794 | ||||||||
| Enumeration Date | 2016-05-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2592 WINDING CREEK DR LITHIA SPRINGS, GA 30122-2761 United States Phone: 770-288-0255 | Fax: | ||||||||
| Primary Practice Address | 2592 WINDING CREEK DR LITHIA SPRINGS, GA 30122-2761 United States Phone: 770-288-0255 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|