Individual
MRS. DEDRA SHANICE DAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2841 US HIGHWAY 84 W LOT 18, VALDOSTA, GA 31601-0340
(229) 539-1819
Mailing address
2841 US HIGHWAY 84 W LOT 18, VALDOSTA, GA 31601-0340
(229) 539-1819
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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