person
Patrick Derouen, PA-C
Medical Physician Assistant in Austell, Georgia
NPI 1184781999

Patrick Derouen is a Medical Physician Assistant based in Austell, GA and is specialized in Medical. Patrick Derouen practices in Austell, GA and has the professional credentials of PA-C. The NPI Number for Patrick Derouen is 1184781999 and holds a License No. 004076 (Georgia).

The current practice location address for Patrick Derouen is 1550 Mulkey Rd, Austell, GA and can be reached out via phone at 404-446-1440 and via fax at 770-732-2081.

Location: 1550 Mulkey Rd, Austell, GA, 30106-1112
person
Provider Profile Details
NPI Number
1184781999
Provider Name
Patrick Derouen
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1550 Mulkey Rd, Austell, GA, 30106-1112
Phone Number
404-446-1440
Fax Number
770-732-2081
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1550 Mulkey Rd
City
State
Zip
30106-1112
Phone Number
404-446-1440
Fax Number
770-732-2081
person
Provider Business Mailing Address Details
Address
1550 Mulkey Rd
City
State
Zip
30106-1112
Phone Number
404-446-1440
Fax Number
770-732-2081
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004076 (Georgia)
Definition
Definition to come...
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