Individual
DEVOSHA QUANTASIA DIALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7581 DEERRIDGE WAY, FAIRBURN, GA 30213-6556
(843) 432-6740
(843) 432-6740
Mailing address
7581 DEERRIDGE WAY, FAIRBURN, GA 30213-6556
(843) 432-6740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336887
GA
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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