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Contact Information

DEKALB MEDICAL SPECIALTY CARE GROUP LLC
2701 N DECATUR RD
DECATUR, GA30033-5918
 Phone: 404-501-3870
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for DEKALB MEDICAL SPECIALTY CARE GROUP LLC · (Female)

NPI # 1063663037
Status Active
Credentials
Entity Individual
Enumeration date 10/08/2008
Last updated 10/08/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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