# DEKALB MEDICAL PRIMARY CARE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEKALB MEDICAL CENTER INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104077171
- **Legal business name:** DEKALB MEDICAL CENTER INC
- **Authorized official:** DR. DUANE BARCLAY D.O. (ADMINISTRATOR)
- **Authorized official phone:** (404) 501-5215

## Contact information

- **Practice address:** 2701 N DECATUR RD, DECATUR, GA 30033-5918
- **Practice address phone:** (404) 501-3870
- **Mailing address:** 2701 N DECATUR RD, DECATUR, GA 30033-5918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2008
- **Last updated:** 10/21/2008