Search › Georgia › 363LW0102X

Donecia Ingram

NPI 1780429506 · on the registry since 2024 · sole proprietor

Practice

Address
5796 Keystone Grv
Lithonia, GA 30058
Phone
(678) 849-9088

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia