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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

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Kelly Elizabeth Decker, CSFA — NPI 1144067570