Individual
DR. PAUL LOUIS DESANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 417-1510
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 251-8921
(404) 688-6351
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
64528
GA
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
64528
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01549944
—
NY
Enumeration date
01/17/2007
Last updated
03/11/2013
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