Individual
MS. DORNISHA M BEANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3161 HOWELL MILL RD, SUITE 410, ATLANTA, GA 30327-0321
(404) 352-4200
(404) 352-5200
Mailing address
PO BOX 92321, ATLANTA, GA 30314-0321
(770) 841-6433
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
004498
GA
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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