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A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI # | 1104077171 |
| LBN Legal business name | DEKALB MEDICAL PRIMARY CARE GROUP LLC |
| Authorized official | DUANE BARCLAY - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 10/08/2008 |
| Last updated | 10/21/2008 - About 18 years ago |
| Identifiers | n/a |
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DEKALB MEDICAL PRIMARY CARE GROUP LLC
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DEKALB MEDICAL PRIMARY CARE GROUP LLC