Healthcare Provider Details

I. General information

NPI: 1295846004
Provider Name (Legal Business Name): DEMETRIA CURTIS GAINES PHARMD, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEMETRIA ROCHELLE GAINES PHARM.D.

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 12/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 CLAIRMONT RD
DECATUR GA
30033-4004
US

IV. Provider business mailing address

1670 CLAIRMONT RD
DECATUR GA
30033-4004
US

V. Phone/Fax

Practice location:
  • Phone: 404-321-6111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number14913
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRPH022748
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: