Individual
DONESSA ARETHA FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2389 WESLEY CHAPEL RD STE 102, DECATUR, GA 30035-2819
(404) 469-9867
(877) 889-5105
Mailing address
2389 WESLEY CHAPEL RD STE 102, DECATUR, GA 30035-2819
(404) 469-9867
(877) 889-5105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31828
AL
207Q00000X
Family Medicine Physician
Primary
89269
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255561379
—
AL
Enumeration date
07/23/2009
Last updated
12/16/2021
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