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Contact Information

PAUL L DESANDRE, DO
1670 CLAIRMONT RD
DECATUR, GA30033-4004
 Phone: 404-321-6111
 Fax: 404-417-1510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
Indicates primary specialty

NPI Profile & details for PAUL L DESANDRE · (Male)

NPI Number 1255483756
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/17/2007
Last updated 03/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 64528
  • NY Medicaid 01549944
Hospital affiliation(s)
  • GRADY MEMORIAL HOSPITAL - (Acute Care)
    80 JESSE HILL, JR DRIVE SE
    ATLANTA, GA 30303
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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