Individual
MRS. DORCAS OHAERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
283 RED HAWK WAY, DALLAS, GA 30132-1149
(561) 801-3148
Mailing address
4921 TRAIL RIDGE PL, DOUGLASVILLE, GA 30134-8055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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