Individual
CASSANDRE NEOTHA MARSEILLE PERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
(706) 721-9286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
83878
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
06/21/2016
Last updated
08/12/2019
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