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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

NPI # 1063663037
LBN Legal business name DEKALB MEDICAL SPECIALTY CARE GROUP LLC
Authorized official DUANE BARCLAY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/08/2008
Last updated 10/08/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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