Provider Demographics
NPI:1710494208
Name:JOYNER, URSULA KREITHIAN
Entity Type:Individual
Prefix:
First Name:URSULA
Middle Name:KREITHIAN
Last Name:JOYNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 TOMPKINS AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31705-3325
Mailing Address - Country:US
Mailing Address - Phone:229-485-8255
Mailing Address - Fax:
Practice Address - Street 1:2311 TOMPKINS AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31705-3325
Practice Address - Country:US
Practice Address - Phone:229-485-8255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor