Individual
DANTE LAMAR JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 TAVISTOCK CT, MCDONOUGH, GA 30252-8967
(678) 960-8192
Mailing address
416 TAVISTOCK CT, MCDONOUGH, GA 30252-8967
(678) 960-8192
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
GA
Other
Enumeration date
02/21/2023
Last updated
02/24/2023
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