Individual
DR. JAMES MCCLELLAN DECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
125A COMMERCE DR, TYRONE, GA 30290-2034
(770) 487-8787
(770) 486-1565
Mailing address
125A COMMERCE DR, PO BOX 219, TYRONE, GA 30290-2034
(770) 487-8787
(770) 486-1565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9630
GA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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