Madison Rachelle Desch
Physician Assistant in Stone Mountain, GA. Individual provider (NPI-1).
NPI number1558086397
StatusActive
Last updated in NPPESOct 4, 2022
Details
- NPI
- 1558086397
- Entity type
- Individual (NPI-1)
- Name
- Madison Rachelle Desch
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2022
- Certification date
- Oct 4, 2022
- Last updated
- Oct 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
434 Sherwood Oaks RdStone Mountain, GA 30087-5209
Phone 913-609-9710
Mailing address
434 Sherwood Oaks RdStone Mountain, GA 30087-5209
Phone 913-609-9710
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Other Physician Assistant providers in Stone Mountain, GA
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- Joseph Nyankum, PA-CNPI 1891329710
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- Selamawit Wehabe Tsega, MDCENPI 1902746530
- Raina Udom, P.A.-CNPI 1477999860
All 10 Physician Assistant providers in Stone Mountain · All 1,438 providers in Stone Mountain
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