Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN CARMEN DERCOLA, PA
ActiveJOHN CARMEN DERCOLA, PA is a Medical Physician Assistant healthcare provider located in MARIETTA, Georgia. NPI 1417952433 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MARIETTA, GA
Registration Details
- NPI Number
- 1417952433
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (21.124928575625 yrs)
- Last Updated
- Jan 2, 2013
- License
-
002707 (GA)
Practice Information
- Address
-
55 WHITCHER ST NESUITE 350MARIETTA, GA, 300601155Browse GA providers · Browse ZIP 30060
- Phone
- 7704246893
- Fax
- 7705289926
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in MARIETTA, GA
| Name | Credential | NPI |
|---|---|---|
| NELSON JACQUET | PA | 1578568358 |
| MS. KIMBERLY HOPE OBENSHAIN | PA | 1144226069 |
| MANDI C FOWLER | PA-C | 1891782900 |
| STEVEN ALAN CONLEY | PA-C | 1922082015 |
| MS. MELISSA E CAPLAN | PA-C | 1174501274 |
| JAMES BRIAN KELLY | PA-C | 1558337055 |
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.