Individual
MR. DEWAYNE ALVIN MAGEE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8679 WALWORTH CT, JONESBORO, GA 30238-7033
(404) 734-0831
Mailing address
8679 WALWORTH CT, JONESBORO, GA 30238-7033
(404) 734-0831
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
052911623
GA
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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