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Gwendolyn T Dean, MD
Specialist in Fayetteville, Georgia
NPI 1629028386

Gwendolyn T Dean is a Specialist based in Atlanta, GA. Gwendolyn T Dean practices in Fayetteville, GA and has the professional credentials of MD. The NPI Number for Gwendolyn T Dean is 1629028386 and holds a License No. 28526 (Georgia).

The current practice location address for Gwendolyn T Dean is 115 Sumner Rd, Fayetteville, GA and can be reached out via phone at 678-477-6904.

Location: 115 Sumner Rd, Fayetteville, GA, 30343-0158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629028386
Provider Name
Gwendolyn T Dean
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
115 Sumner Rd, Fayetteville, GA, 30343-0158
Phone Number
678-477-6904
Fax Number
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00297349AL 05 GA
institution
Provider Business Practice Location Address Details
Address
115 Sumner Rd
City
Fayetteville
State
Georgia
Zip
30214-4758
Phone Number
678-477-6904
Fax Number
person
Provider Business Mailing Address Details
Address
115 Sumner Rd
City
Fayetteville
State
Georgia
Zip
30214-4758
Phone Number
678-477-6904
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
28526 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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