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NPI Code Detail

MEDICARE: MS. DASHAWNA JUANITA FUSSELL-WARE

MEDICARE: MS. DASHAWNA JUANITA FUSSELL-WARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1508385022
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DASHAWNA JUANITA FUSSELL-WARE
Provider Business Mailing Address
First Line : 138 ASHLEY CIR APT 4
Second Line :
City : ATHENS
State : GA
Zip : 30605-2899
Country : US
Telephone Number : 786-356-5767
Fax Number :
Provider Business Practice Location Address
First Line : 270 CARPENTER DR STE 400
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-4933
Country : US
Telephone Number : 678-460-0345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2017
Last Update Date : 09/15/2017

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Directions to “ MS. DASHAWNA JUANITA FUSSELL-WARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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