Individual
DR. THAEDRA DENICE MERCADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3872 HIGHWAY 5, DOUGLASVILLE, GA 30135-3366
(770) 949-5535
(770) 949-9022
Mailing address
3872 HIGHWAY 5, DOUGLASVILLE, GA 30135-3366
(770) 949-5535
(770) 949-9022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
869784
GA
Other
Enumeration date
04/02/2008
Last updated
08/22/2011
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