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Individual

ERIKA L DOVIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A

Contact information

Practice address
1240 JESSE JEWELL PKWY SE, SUITE 500, GAINESVILLE, GA 30501-3862
(770) 536-9864
Mailing address
1320 OVERLAND PARK DR, BRASELTON, GA 30517-1407
(770) 965-7578

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004281
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004281
PA LICENSE
GA
01
01614023
AMERIGROUP
GA
05
180899329E
GA
Enumeration date
03/09/2006
Last updated
05/04/2012
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