| Dekalb Gpo Llc | |
|
2801 N Decatur Rd Suite 200 Decatur GA 30033-5949 | |
| (404) 296-5005 | |
| (404) 296-9417 |
| Full Name | Dekalb Gpo Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2801 N Decatur Rd, Decatur, Georgia |
| Authorized Official Name and Position | Brian Pallone (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4042965005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dekalb Gpo Llc 2801 N Decatur Rd Suite 200 Decatur GA 30033-5949 Ph: (404) 296-5005 | Dekalb Gpo Llc 2801 N Decatur Rd Suite 200 Decatur GA 30033-5949 Ph: (404) 296-5005 |
| NPI Number | 1538586995 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 03/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538586995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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