Individual
JOANNE VANDUYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAAA
Contact information
Practice address
1364 CLIFTON RD NE, 3B SOUTH, ATLANTA, GA 30322-1059
(404) 778-4852
Mailing address
132 W DAVIS ST, DECATUR, GA 30030-5218
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
001625
GA
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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