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Individual

DR. CASSIE GRIMSLEY ACKERLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, MSC

Contact information

Practice address
500 IRVIN CT STE 200, DECATUR, GA 30030-1705
(404) 712-1370
Mailing address
3131 N DRUID HILLS RD APT 10103, DECATUR, GA 30033-2663

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
76724
GA
2080P0208X
Pediatric Infectious Diseases Physician
76724
GA

Other

Enumeration date
04/11/2012
Last updated
12/12/2024
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