Organization
DEKALB SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SARGENT KENNEDY M.D. (PRESIDENT)
(404) 508-4320
Entity
Organization
Contact information
Practice address
2665 N DECATUR RD, SUITE 730, DECATUR, GA 30033-6149
(404) 508-4320
(404) 508-4112
Mailing address
2665 N DECATUR RD, SUITE 730, DECATUR, GA 30033-6149
(404) 508-4320
(404) 508-4112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
10/02/2012
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