Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICK DEROUEN, PA-C
Active Sole ProprietorPATRICK DEROUEN, PA-C is a Medical Physician Assistant healthcare provider located in AUSTELL, Georgia. NPI 1184781999 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · AUSTELL, GA
Registration Details
- NPI Number
- 1184781999
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2007 (19.575306396388 yrs)
- Last Updated
- Jul 8, 2007
- License
-
004076 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1550 MULKEY RDAUSTELL, GA, 301061112Browse GA providers · Browse ZIP 30106
- Phone
- 4044461440
- Fax
- 7707322081
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in AUSTELL, GA
| Name | Credential | NPI |
|---|---|---|
| MR. FRANK HACHMUTH | PHYSICIAN ASSISTANT | 1386635902 |
| MS. RAQUEL M DECAMP | PA-C | 1215913512 |
| MRS. ALISON LEIGH OSBORN FUGARO | PA | 1841253903 |
| SYLVONNE KENYATTA COX | PA-C | 1992863385 |
| STACEY K MUTZ | PA-C | 1588721393 |
| MRS. KATHY S POODIACK | PA-C | 1700030624 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.