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Individual

ANTHONY PAUL CAMPANELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA - C, CAQ-PSYCH

Contact information

Practice address
465 WINN WAY STE 221, DECATUR, GA 30030-1723
(888) 588-8995
Mailing address
183 MORELAND AVE SE UNIT 103, ATLANTA, GA 30316-1338
(386) 882-7323

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
65560
GA
363A00000X
Physician Assistant
Primary
10247
GA

Other

Enumeration date
01/07/2021
Last updated
05/07/2026
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