Individual
DAVID HENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
145 MIDDLEBROOK DR, FAYETTEVILLE, GA 30215-4999
(678) 602-1898
Mailing address
145 MIDDLEBROOK DR, FAYETTEVILLE, GA 30215-4999
(678) 602-1898
(404) 466-4632
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
7056
GA
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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