John Carmen Dercola, PA

NPI #1417952433 in Marietta, Georgia

Provider Information

NPI Number
1417952433
Entity Type
Individual
Name
John Carmen Dercola, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Jun 16, 2005
Last Updated
Jan 2, 2013

Practice Location

Address
55 WHITCHER ST NE
Address 2
SUITE 350
State
Georgia
ZIP Code
30060-1155
Phone
(770) 424-6893

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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