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Organization
YES.M
Active
Organization
YES.M
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON A DAWSON MS (CEO)
(404) 426-4406
Entity
Organization
Contact information
Practice address
2605 BEN HILL RD, EAST POINT, GA 30344-1900
(770) 716-3399
Mailing address
1572 HIGHWAY 85 N STE 211, FAYETTEVILLE, GA 30214-7726
(770) 716-3399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC004599
GA
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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