Individual
DANA E DEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
211 LAUREL LN, CARROLLTON, GA 30116-6499
(770) 639-4189
Mailing address
211 LAUREL LN, CARROLLTON, GA 30116-6499
(770) 639-4189
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN106286
GA
Other
Enumeration date
06/14/2009
Last updated
06/14/2009
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