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Individual

CHINAZA M DUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3450 ROXBORO RD NE, ATLANTA, GA 30326-1795
(678) 881-7411
Mailing address
3450 ROXBORO RD NE APT 1201, ATLANTA, GA 30326-1796
(770) 417-7029

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332U00000X
Home Delivered Meals
335G00000X
Medical Foods Supplier
341600000X
Ambulance
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant

Other

Enumeration date
03/25/2024
Last updated
03/25/2024
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