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Organization

DCA DIAGNOSTICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY L JONES (PRACTICE ADMINISTRATION)
(678) 741-2317
Entity
Organization

Contact information

Practice address
880 CRESTMARK DR, SUITE 102, LITHIA SPRINGS, GA 30122-2646
(678) 388-2040
(678) 388-2031
Mailing address
880 CRESTMARK DR STE 102, LITHIA SPRINGS, GA 30122-2646
(678) 741-2317
(770) 944-4522

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
048324
GA
261QE0800X
Endoscopy Clinic/Center

Other

Enumeration date
02/09/2006
Last updated
12/03/2025
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