Mrs Donna P Decaille, RD is a
Dietitian, Registered based in Tyrone, Georgia. Mrs Donna P Decaille is licensed to practice in Georgia (license number LD002627) and her current practice location is
1922 Highway 74 N, Suite D, Tyrone, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 797-0528.
NPI number for Mrs Donna P Decaille is 1437102530 and her current mailing address is 1922 Highway 74 N, Suite D, Tyrone, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437102530.
Healthcare Provider's Profile
| Full Name | Mrs Donna P Decaille |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1922 Highway 74 N, Tyrone, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437102530
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 06/19/2010
Medical Identifiers
Medical identifiers for Mrs Donna P Decaille such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437102530 | NPI | - | NPPES |
| 24020797A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | LD002627 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Donna P Decaille is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Donna P Decaille, RD
1922 Highway 74 N, Suite D,
Tyrone, GA 30290-1660
Ph: (404) 797-0528 | Mrs Donna P Decaille, RD
1922 Highway 74 N, Suite D,
Tyrone, GA 30290-1660
Ph: (404) 797-0528 |
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