Individual
SOM DALAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2310 PARKLAKE DR NE, SUITE 171, ATLANTA, GA 30345-2913
(678) 313-2138
Mailing address
4106 FRANKS DR, TUCKER, GA 30084-7509
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
044-R-1201
GA
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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