Individual
DR. DOMINIQUE DESSAUSURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHIROPRACTOR
Contact information
Practice address
2375 WALL ST SE, CONYERS, GA 30013-6702
(404) 947-8262
Mailing address
2375 WALL ST SE, CONYERS, GA 30013-6702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010315
GA
Other
Enumeration date
12/30/2019
Last updated
05/06/2020
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