Individual
DELQUIS RAFAEL MENDOZA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3073 PANTHERSVILLE ROAD, PATIENTS ACCOUNTS OFFICE, DECATUR, GA 30034
(404) 243-2100
(404) 243-2159
Mailing address
P.O. BOX 370407, PATIENT ACCOUNTS OFFICE, DECATUR, GA 30034
(404) 243-2100
(404) 243-2159
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
040436
GA
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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