person
Mr. David Dewayne Dubose, PA
Medical Physician Assistant in Atlanta, Georgia
NPI 1225190507

David Dewayne Dubose is a Medical Physician Assistant based in Grayson, GA and is specialized in Medical. David Dewayne Dubose practices in Atlanta, GA and has the professional credentials of PA. The NPI Number for David Dewayne Dubose is 1225190507 and holds a License No. 003423 (Georgia).

The current practice location address for David Dewayne Dubose is 590 Cascade Ave Sw, Atlanta, GA and can be reached out via phone at 404-758-8373 and via fax at 404-758-8372.

Location: 590 Cascade Ave Sw, Atlanta, GA, 30017-4101
person
Provider Profile Details
NPI Number
1225190507
Provider Name
David Dewayne Dubose
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
590 Cascade Ave Sw, Atlanta, GA, 30017-4101
Phone Number
404-758-8373
Fax Number
404-758-8372
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
590 Cascade Ave Sw
City
State
Zip
30310-2467
Phone Number
404-758-8373
Fax Number
404-758-8372
person
Provider Business Mailing Address Details
Address
590 Cascade Ave Sw
City
State
Zip
30310-2467
Phone Number
404-758-8373
Fax Number
404-758-8372
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
003423 (Georgia)
Definition
Definition to come...
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