Provider Demographics
NPI:1588092076
Name:DENKER, DANA MCDONALD (AA-C)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:MCDONALD
Last Name:DENKER
Suffix:
Gender:F
Credentials:AA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:400 17TH ST NW
Mailing Address - Street 2:UNIT 1109
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30363-1045
Mailing Address - Country:US
Mailing Address - Phone:404-578-3636
Mailing Address - Fax:
Practice Address - Street 1:677 CHURCH ST NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1101
Practice Address - Country:US
Practice Address - Phone:770-794-0477
Practice Address - Fax:770-794-3108
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-22
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant