Individual
MRS. DESHAWN D BELLAMY-DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5562 VILLAGE TRCE, UNION CITY, GA 30291-5147
(786) 277-9720
Mailing address
5562 VILLAGE TRCE, UNION CITY, GA 30291-5147
(786) 277-9720
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/17/2024
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