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Anne Deatrick

Dentist, General Practice in Decatur, GA. Individual provider (NPI-1).

NPI number1437726650
StatusActive
Last updated in NPPESJun 7, 2021

Details

NPI
1437726650
Entity type
Individual (NPI-1)
Name
Anne Deatrick
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 7, 2021
Certification date
Jun 7, 2021
Last updated
Jun 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN122293GAYes

Practice location

144 S Columbia Dr
Decatur, GA 30030-4103

Phone 404-328-7171

Mailing address

7803 Amber Glen Ct
Louisville, KY 40220-1578

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