Individual
DEAN S ATTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
4120 FIVE FORKS TRICKUM RD SW, LILBURN, GA 30047-3130
(770) 935-9546
(770) 923-1839
Mailing address
PO BOX 102846, ATLANTA, GA 30368-2846
(404) 501-7925
(404) 501-6638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021634
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00439403D
—
GA
01
—
080185797
MEDICARE RAILROAD
—
Enumeration date
08/18/2006
Last updated
11/27/2007
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