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Individual

DR. DE'SMOND MARQUISE HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 616-1426
(404) 616-6281
Mailing address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 616-1426
(404) 616-6281

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
84693
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036171721
IL
05
84693
GA
Enumeration date
08/21/2013
Last updated
09/30/2024
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