Search › Georgia › 235Z00000X
Jill Decorso
NPI 1679821193 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4280 Hickory Flat Hwy
Ste 108
Canton, GA 30115 - Phone
- (770) 345-2804
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-08-15
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