Individual
JACOB ALLAN DECAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3200 HOLCOMB BRIDGE RD, PEACHTREE CORNERS, GA 30092-3361
(770) 417-5106
Mailing address
747 RALPH MCGILL BLVD NE UNIT 1259, ATLANTA, GA 30312-1136
(678) 865-7662
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH032931
GA
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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