Individual
MR. DONALD E SALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4030 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-2823
(770) 921-4811
(770) 921-7943
Mailing address
4030 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-3011
(770) 921-4811
(770) 921-7943
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002071
GA
Other
Enumeration date
10/05/2006
Last updated
03/23/2016
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