Decook, Charles Adam
Decook, Charles Adam is an individual health care provider with primary practice located at 2000 Howard Farm Dr Ste 200 , Cumming GA 30041-6081. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Decook, Charles Adam can be contacted via phone (770) 292-6500.Contact Information
Primary practice address
2000 Howard Farm Dr Ste 200
Cumming GA 30041-6081
Phone: (770) 292-6500
Fax: (770) 292-6535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200301449 | North Carolina |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101245422 | Virginia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 63576 | Georgia |
Profile Details
| NPI number | 1386794113 |
|---|---|
| LBN Legal business name | Decook, Charles Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386794113 | NPPES |
| Georgia | MEDICAID | 509140519C | |
| Georgia | Other | 557507 | |
| Georgia | MEDICAID | 89136RR | |
| Georgia | Other | 9485152 | |
| Georgia | Other | 0101245422 | |
| Georgia | MEDICAID | 509140519A | |
| Georgia | Other | P01659745 | |
| Georgia | MEDICAID | 509140519O | |
| Georgia | Other | 52241691 | |
| Georgia | Other | 7493615 | |
| Georgia | Other | P00903599 | |
| Georgia | Other | 01353242 | |
| Georgia | MEDICAID | 509140519Q | |
| Georgia | MEDICAID | 509140519B | |
| Georgia | MEDICAID | 509140519P | |
| Georgia | Other | P01726634 |
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