Individual
DAWN DELEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9117
(678) 583-3400
Mailing address
PO BOX 1442, MCDONOUGH, GA 30253-1442
(678) 583-3400
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NOT REQUIRED TO REPORT
—
Enumeration date
11/07/2022
Last updated
11/07/2022
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