Organization
DEKALB MEDICAL PRIMARY 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
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/08/2008
Last updated
10/21/2008
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