Individual
MICHAEL DECAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAA
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-5519
(404) 616-9213
Mailing address
3129 LYNNRAY DR, DORAVILLE, GA 30340-4453
(404) 616-5519
(404) 616-9213
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
000640
HI
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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