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Individual

MR. JAMES ROBERT DONLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTRL

Contact information

Practice address
5646 RIDING WOODS DR SW, HIRAM, GA 30141-6340
(770) 943-4847
(770) 943-4847
Mailing address
5646 RIDING WOODS DR SW, HIRAM, GA 30141-6340
(770) 943-4847
(770) 943-4847

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
002989
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00086425A
GA
Enumeration date
02/05/2007
Last updated
07/08/2007
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