Organization
DEKALB MEDICAL SPECIALTY CARE GROUP LLC
Active
Parent organization
DEKALB MEDICAL CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEKALB MEDICAL CENTER INC
Authorized official
DR. DUANE BARCLAY D.O. (ADMINISTRATOR)
(404) 501-5215
Entity
Organization
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-3870
Mailing address
2701 N DECATUR RD, DECATUR, GA 30033-5918
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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