Healthcare Provider Details

I. General information

NPI: 1972582963
Provider Name (Legal Business Name): FRANCES J DUNSTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 10/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 JESSE HILL JR. DRIVE
ATLANTA GA
30303
US

IV. Provider business mailing address

75 PIEDMINT AVE STE 700
ATLANTA GA
30303
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-9850
  • Fax: 404-785-9828
Mailing address:
  • Phone: 404-756-1400
  • Fax: 404-756-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number043359
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: