National Provider Identifier Database

DEKALB MEDICAL PRIMARY CARE GROUP LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

DEKALB MEDICAL PRIMARY CARE GROUP LLC
2701 N DECATUR RD
DECATUR, GA30033-5918
Phone: 404-501-3870
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for DEKALB MEDICAL PRIMARY CARE GROUP LLC

NPI Number 1104077171
Legal business name
LBN
DEKALB MEDICAL PRIMARY CARE GROUP LLC
Authorized official DUANE BARCLAY - (ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 10/08/2008
Last updated 10/21/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for DEKALB MEDICAL PRIMARY CARE GROUP LLC

There are currently no reviews for DEKALB MEDICAL PRIMARY CARE GROUP LLC


NPIdb - Home
v2.201