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DR. JAMES MCCLELLAN DECKMAN DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1255354494

Individual Registrant:
DR. JAMES MCCLELLAN DECKMAN DMD
Gender: M
Sole Proprietor

Location and contact information for practice:
125A COMMERCE DR  TYRONE, GA 30290-2034 US
Tel: 770-487-8787  Fax: 770-486-1565

Contact information for business:
125A COMMERCE DR PO BOX 219 TYRONE, GA 30290-2034 US
Tel: 770-487-8787  Fax: 770-486-1565

Registration Information:
NPI: 1255354494
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
GA9630

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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