person
Ms. Raquel M Decamp, PA-C
Medical Physician Assistant in Austell, Georgia
NPI 1215913512

Raquel M Decamp is a Medical Physician Assistant based in Lawrenceville, GA and is specialized in Medical. Raquel M Decamp practices in Austell, GA and has the professional credentials of PA-C. The NPI Number for Raquel M Decamp is 1215913512 and holds a License No. 004821 (Georgia).

The current practice location address for Raquel M Decamp is 1700 Hospital South Dr, Austell, GA and can be reached out via phone at 770-739-0999 and via fax at 678-324-4275.

Location: 1700 Hospital South Dr, Austell, GA, 30043-6611
person
Provider Profile Details
NPI Number
1215913512
Provider Name
Raquel M Decamp
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1700 Hospital South Dr, Austell, GA, 30043-6611
Phone Number
770-739-0999
Fax Number
678-324-4275
Provider Enumeration Date
12/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
666236332G 05 GA
666236332F 05 GA
666236332C 05 GA
666236332D 05 GA
666236332E 05 GA
20526 05 NE
institution
Provider Business Practice Location Address Details
Address
1700 Hospital South Dr
City
State
Zip
30106-6810
Phone Number
770-739-0999
Fax Number
678-324-4275
person
Provider Business Mailing Address Details
Address
1700 Hospital South Dr
City
State
Zip
30106-6810
Phone Number
770-739-0999
Fax Number
678-324-4275
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004821 (Georgia)
Definition
Definition to come...
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