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NPI Code Detail

MEDICARE: DANIEL PAUL DECAMP M.D.

MEDICARE: DANIEL PAUL DECAMP M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01030702IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437181112
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL PAUL DECAMP M.D.
Provider Business Mailing Address
First Line : 14089 ABERCORN ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31419-1966
Country : US
Telephone Number : 912-350-2121
Fax Number :
Provider Business Practice Location Address
First Line : 14089 ABERCORN ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31419-1966
Country : US
Telephone Number : 912-350-2121
Fax Number : 912-350-2145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 02/10/2017

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Directions to “ DANIEL PAUL DECAMP M.D.” Practice Location

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