Individual
MR. DECHA SORANEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
121 OLDE HICKORY DR, BONAIRE, GA 31005-3475
(478) 923-1372
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA000305L
PA
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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