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Patrick Derouen, PA-C
NPI 1184781999 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1550 Mulkey Rd
Austell, GA 30106 - Phone
- (404) 446-1440
- Fax
- (770) 732-2081
- Organisation at this address
- Atlanta West Dermatology & Surgery Center Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia