Individual
LADI DOONQUAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3660 FLAT SHOALS RD STE 100, DECATUR, GA 30034-1649
(876) 968-3130
Mailing address
3660 FLAT SHOALS RD STE 100, DECATUR, GA 30034-1649
(876) 968-3130
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
40898
GA
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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