Individual
ALTHEA CHARITY DIMACULANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
345 HUNTINGTON PLACE CT, MCDONOUGH, GA 30253-8651
(678) 272-7280
(678) 610-6025
Mailing address
345 HUNTINGTON PLACE CT, MCDONOUGH, GA 30253-8651
(678) 272-7280
(678) 610-6025
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
178925
GA
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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