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Individual

GARY A. DEBACHER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3073 PANTHERSVILLE RD, DECATUR, GA 30034-3828
(404) 212-5454
(404) 243-2159
Mailing address
P O BOX 370407, DECATUR, GA 30034-3828
(404) 212-5454
(404) 243-2159

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000893
GA

Other

Enumeration date
01/17/2006
Last updated
07/08/2007
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