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Individual

MS. MONIQUE DUNBAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3236 SPICY CEDAR LN, LITHONIA, GA 30038-7162
(404) 780-3096
Mailing address
3236 SPICY CEDAR LN, LITHONIA, GA 30038-7162
(404) 780-3096

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
547838
NY
363L00000X
Nurse Practitioner
220631
GA
363L00000X
Nurse Practitioner
Primary
RN220631
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487886230
BCBS
GA
05
1487886230
GA
Enumeration date
08/12/2009
Last updated
12/31/2018
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