Individual
MR. DAVID DEWAYNE DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
590 CASCADE AVE SW, STE 400, ATLANTA, GA 30310-2467
(404) 758-8373
(404) 758-8372
Mailing address
374 SILVERTOP DR, GRAYSON, GA 30017-4101
(404) 918-0803
(770) 733-1734
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003423
GA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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