Devosha Quantasia Dials, FNP
Nurse Practitioner, Family in Fairburn, GA. Individual provider (NPI-1).
NPI number1649067802
StatusActive
Last updated in NPPESApr 22, 2025
Details
- NPI
- 1649067802
- Entity type
- Individual (NPI-1)
- Name
- Devosha Quantasia Dials
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2025
- Certification date
- Apr 22, 2025
- Last updated
- Apr 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 336887 | GA | Yes |
Practice location
7581 Deerridge WayFairburn, GA 30213-6556
Phone 843-432-6740 · Fax 843-432-6740
Mailing address
7581 Deerridge WayFairburn, GA 30213-6556
Phone 843-432-6740
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