Organization
DEKALB PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE WILKOV MD (OWNER)
(404) 508-1177
Entity
Organization
Contact information
Practice address
350 WINN WAY, DECATUR, GA 30030-2106
(404) 508-1177
Mailing address
350 WINN WAY, DECATUR, GA 30030-2106
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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