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Individual

DONTRICIA JEANTE DUNNUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,CMLDT

Contact information

Practice address
2206 HANFRED LN STE 104, TUCKER, GA 30084-4809
(404) 829-0260
Mailing address
2206 HANFRED LN STE 104, TUCKER, GA 30084-4809
(404) 829-0260

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
233428
GA
163WG0000X
General Practice Registered Nurse
Primary
233428
GA
163WM1400X
Nurse Massage Therapist (NMT)
233428
GA
163WS0121X
Plastic Surgery Registered Nurse
233428
GA
163WW0000X
Wound Care Registered Nurse
233243
GA

Other

Enumeration date
10/20/2025
Last updated
10/20/2025
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