Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Connettia Pemberton

Individual provider Driver · NPI 1184532301

Connettia Pemberton is a Driver in Macon, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

2792 Jordan Ave
Macon, GA 31217-4918
Phone: (404) 852-9790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 045318498 (GA)

Record details

NPI number1184532301
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 29, 2026
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

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