Kelly Elizabeth Decker, CSFA Valid NPI
Individual provider · Surgical Physician Assistant · Dallas, GA
- NPI
- 1144067570
- Type
- Individual (Type 1)
- Primary specialty
- Surgical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AS0400X
- License number
- 126764
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2024-07-12
- Last updated
- 2025-12-16
Practice location
10175 Dallas Acworth Hwy Ste 103-14
Dallas, GA 30132-9300
(678) 481-1647