JOHN CARMEN DERCOLA

MARIETTA, GA
NPI1417952433
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  002707)
Enumeration Date2005-06-16
Last Update Date2013-01-02
Business Address
-- JOHN CARMEN DERCOLA PA
55 WHITCHER ST NE SUITE 350
MARIETTA, GA 30060-1155
Phone number: 770-424-6893
Mailing Address
-- JOHN CARMEN DERCOLA PA
55 WHITCHER ST NE SUITE 350
MARIETTA, GA 30060-1155
Phone number: 770-424-6893
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