Individual
MR. ROBERT EARL DECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
104 TILGHMAN DR, DUNN, NC 28334-5510
(910) 892-1333
Mailing address
104 TILGHMAN DR, DUNN, NC 28334-5533
(910) 892-1333
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103866
NC
Other
Enumeration date
08/26/2005
Last updated
11/24/2014
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