Individual
JOANNE DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 FRANKLIN GTWY SE APT 87, MARIETTA, GA 30067-7910
(470) 445-7976
Mailing address
860 FRANKLIN GTWY SE APT 87, MARIETTA, GA 30067-7910
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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