Individual
MS. MARY DONELL DUCOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
520 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3779
(770) 534-0534
(770) 532-4049
Mailing address
1787 KELVIN DR, LAWRENCEVILLE, GA 30043-3133
(770) 995-5393
(770) 532-4049
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN092409 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN092409NP
NP LICENSE NUMBER
GA
Enumeration date
03/28/2007
Last updated
07/08/2007
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