PATRICK DEROUEN

AUSTELL, GA
NPI1184781999
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  004076)
Enumeration Date2007-01-02
Last Update Date2007-07-08
Business Address
-- PATRICK DEROUEN PA-C
1550 MULKEY RD
AUSTELL, GA 30106-1112
Phone number: 404-446-1440
Mailing Address
-- PATRICK DEROUEN PA-C
1550 MULKEY RD
AUSTELL, GA 30106-1112
Phone number: 404-446-1440
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