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Individual

MR. DAVID ADETUNJI FATADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 728-4708
Mailing address
4229 RIDGESIDE TER, SNELLVILLE, GA 30039-6831
(770) 972-5730
(770) 972-5730

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN163665
GA

Other

Enumeration date
02/01/2007
Last updated
07/08/2007
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