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Organization

DEKALB FAMILY PRACTICE AND GERIATRICS

Active
Other names
Lenox Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
SUDHA CHALLA MD (PHYSICIAN)
(770) 458-8497
Entity
Organization

Contact information

Practice address
3042 OAKCLIFF RD STE 200B, DORAVILLE, GA 30340-2643
(770) 458-8497
Mailing address
3042 OAKCLIFF RD STE 200B, DORAVILLE, GA 30340-2643
(770) 458-8497

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
02/06/2014
Last updated
02/04/2026
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