Individual
MS. CARMECEIA LAVONDE DOWDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
626 PECAN KNOLL DR, MARIETTA, GA 30008-3102
(678) 670-1316
Mailing address
626 PECAN KNOLL DR, MARIETTA, GA 30008-3102
(678) 670-1316
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4158
GA
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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