Raquel M Decamp in Lawrenceville - Medical

Raquel M Decamp - NPI 1215913512

Raquel M Decamp is a Medical in Lawrenceville, Georgia. Raquel M Decamp practices all healthcare services and medical treatments related to Medical. The NPI Number for Raquel M Decamp is 1215913512. The last update date is 2019-11-05.

Raquel M Decamp's current location address is 1838 American Way, Lawrenceville, Georgia. You can contact this provider via phone number 7709957622 and fax number 7709957854. The mailing address for Raquel M Decamp is 1838 American Way, Lawrenceville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Raquel M Decamp
Address 1838 American Way, Lawrenceville, Georgia
Phone Number 7709957622
Fax Number 7709957854
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1215913512
Provider Enumeration Date 2005-12-19
Last Updated Date 2019-11-05

Provider Mailing Address Detail

Address 1838 American Way
City Lawrenceville
State Georgia (GA)
Post Code 300436611
Phone Number 7709957622
Fax Number 7709957854

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 4821
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
666236332G GA --
666236332F GA --
666236332C GA --
666236332D GA --
666236332E GA --
20526 NE --

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FAQs about Raquel M Decamp

What is the unique 10-digit identifier code issued to Raquel M Decamp by the Centers for Medicare & Medicaid Services?

The Raquel M Decamp has been assigned the NPI (National Provider Identifier) 1215913512 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Raquel M Decamp's physical address?

The Raquel M Decamp is physically located at 1838 American Way, in the city of Lawrenceville, GA, with the postal code 300436611.

What is the area of specialization for Raquel M Decamp, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Raquel M Decamp is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date was the 1215913512 assigned to Raquel M Decamp?

The Raquel M Decamp was issued its 1215913512 on 2005-12-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Raquel M Decamp last refreshed?

The information related to the Raquel M Decamp, including its address, specialty, and other relevant details, was last updated on 2019-11-05.

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