Individual
FAYE DAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 783-6804
Mailing address
3202 ROSEHEATH LN, LITHONIA, GA 30038-2248
(404) 663-9908
(770) 981-3914
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN086498
GA
364SM0705X
Medical-Surgical Clinical Nurse Specialist
RN086498
GA
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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