Provider Demographics
NPI:1942236781
Name:DECKER, FRANCES LOUISE (MD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:LOUISE
Last Name:DECKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 SILVERWOOD COMMERCIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326
Mailing Address - Country:US
Mailing Address - Phone:912-826-8800
Mailing Address - Fax:912-826-8805
Practice Address - Street 1:241 SILVERWOOD COMMERCIAL DRIVE
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326
Practice Address - Country:US
Practice Address - Phone:912-826-8800
Practice Address - Fax:912-826-8805
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033953207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA10064200OtherAMERIGROUP
GA349745OtherWELLCARE
SCG33953Medicaid
GA110214353OtherRR MEDICARE
GA000452207EMedicaid
SCG33953Medicaid
GA10064200OtherAMERIGROUP