Individual
MRS. TELICIA DEQUAI SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4153B FLAT SHOALS PKWY STE 200, DECATUR, GA 30034-4189
(404) 585-5049
(404) 591-0292
Mailing address
4153B FLAT SHOALS PKWY STE 200, DECATUR, GA 30034-4189
(404) 585-5049
(404) 591-0292
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004435
GA
Other
Enumeration date
11/20/2006
Last updated
03/15/2018
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