Individual
LARA DAKKAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
1670 CLAIRMONT RD, EDUCATION SERVICE LINE ATTN: SHELIA PALMER, DECATUR, GA 30033-4004
(770) 375-9202
Mailing address
1670 CLAIRMONT RD, EDUCATION SERVICE LINE ATTN: SHELIA PALMER, DECATUR, GA 30033-4004
(770) 375-9202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008255
GA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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