Individual
LARRY DANIEL DENSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 RANLO DR, DORAVILLE, GA 30340-4614
(770) 414-4812
Mailing address
3100 RANLO DR, DORAVILLE, GA 30340-4614
(770) 414-4812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
208080
SC
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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