Provider Information for 1457629560
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DAWN C JAMES LPC
Sex: Female
NPI: 1457629560
Last Updated: 2019-11-26
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1457629560 | ||||||||
| Enumeration Date | 2011-12-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 405 TRAVELERS REST RD MONTEZUMA, GA 31063-2032 United States Phone: 478-244-0926 | Fax:478-472-1207 | ||||||||
| Primary Practice Address | 405 TRAVELERS REST RD MONTEZUMA, GA 31063-2032 United States Phone: 478-244-0926 | Fax:478-472-1207 | ||||||||
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