| Dekalb Medical Primary Care Group Llc | |
|
2701 N Decatur Rd Decatur GA 30033-5918 | |
| (404) 501-3870 | |
| Not Available |
| Full Name | Dekalb Medical Primary Care Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 2701 N Decatur Rd, Decatur, Georgia |
| Authorized Official Name and Position | Duane Barclay (ADMINISTRATOR) |
| Authorized Official Contact | 4045015215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dekalb Medical Primary Care Group Llc 2701 N Decatur Rd Decatur GA 30033-5918 Ph: () - | Dekalb Medical Primary Care Group Llc 2701 N Decatur Rd Decatur GA 30033-5918 Ph: (404) 501-3870 |
| NPI Number | 1104077171 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104077171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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