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Organization

GYN & OB OF DEKALB, P.C.

Active
Parent organization
GYN & OB OF DEKALB, P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
GYN & OB OF DEKALB, P.C.
Authorized official
DR. WILLIAM LANE HUTCHINSON MD (PRESIDENT)
(404) 299-9307
Entity
Organization

Contact information

Practice address
1805 PARKE PLAZA CIR, SUITE 102, STONE MOUNTAIN, GA 30087-3637
(770) 469-9961
(770) 413-0030
Mailing address
2801 N DECATUR RD, SUITE 190, DECATUR, GA 30033-5949
(404) 299-9307
(404) 299-9309

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
07/27/2009
Last updated
07/27/2009
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