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1821020041
LISA DAWN MANDEVILLE
DECATUR, GA
NPI
1821020041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: GA 046987)
Enumeration Date
2006-07-07
Last Update Date
2020-06-30
Business Address
Dr. LISA DAWN MANDEVILLE M.D.
315 WINN WAY
DECATUR, GA 30030-2111
Phone number: 404-299-9724
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Mailing Address
Dr. LISA DAWN MANDEVILLE M.D.
315 WINN WAY
DECATUR, GA 30030-2111
Phone number: 404-299-9724
Copy
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