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1144067570
KELLY ELIZABETH DECKER
ACWORTH, GA
NPI
1144067570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: 126764)
Enumeration Date
2024-07-12
Last Update Date
2024-07-12
Business Address
KELLY ELIZABETH DECKER CSFA
2537 CEDARCREST RD STE 305-14
ACWORTH, GA 30101-8900
Phone number: 470-336-8190
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Mailing Address
KELLY ELIZABETH DECKER CSFA
2537 CEDARCREST RD STE 305-14
ACWORTH, GA 30101-8900
Phone number: 470-336-8190
Copy
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