SearchGeorgia101YP2500X

Otha Everett, EDD, CRC, MHP

NPI 1043755531 · on the registry since 2016 · sole proprietor

Practice

Address
733-B Carroll Street
Perry, GA 31069
Phone
(478) 224-2850
Fax
(478) 224-2850

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia