Organization
DEKALB COUNTY BOARD OF HEALTH
Active
Organization
DEKALB COUNTY BOARD OF HEALTH
Active
Other names
East Teen Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA E BOUCHELION MD (DISTRICT DIRECTOR/CEO)
(404) 294-3787
Entity
Organization
Contact information
Practice address
2612 MAX CLELAND BLVD STE A, LITHONIA, GA 30058-4400
(678) 526-5429
(678) 526-5434
Mailing address
445 WINN WAY, PO BOX 987, DECATUR, GA 30030-1707
(404) 294-3701
(404) 508-7862
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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