Individual
EDWARD DONTA LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-5331
Mailing address
1133 HUFF RD NW APT 347, ATLANTA, GA 30318-4318
(404) 886-9433
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
GA
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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