Individual
DR. DENISE CHERYL DE VERANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4477 W VILLAGE PKWY, ELLENWOOD, GA 30294-2869
(404) 366-9311
Mailing address
285 COUNTRY CLUB DR, SUITE 200, STOCKBRIDGE, GA 30281-7350
(770) 507-1414
(770) 507-5150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041279
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00710575E
—
GA
Enumeration date
02/28/2007
Last updated
07/13/2022
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