Individual
MS. DASHAWNA JUANITA FUSSELL-WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 CARPENTER DR STE 400, SANDY SPRINGS, GA 30328-4933
(678) 460-0345
Mailing address
138 ASHLEY CIR APT 4, ATHENS, GA 30605-2899
(786) 356-5767
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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