Organization
DEKALB MEDICAL HOSPITALISTS LLC
Active
Parent organization
DEKALB MEDICAL
Other names
Dekalb Medical Emergency Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEKALB MEDICAL
Authorized official
MRS. LAURIE RICHEY (DIRECTOR EMR/QUALITY)
(404) 501-7925
Entity
Organization
Contact information
Practice address
2701 N DECATUR RD, DEKALB MEDICAL PHYSICIANS GROUP, DECATUR, GA 30033-5918
(404) 501-7925
(404) 501-7473
Mailing address
2701 N DECATUR RD, DEKALB MEDICAL PHYSICIANS GROUP, DECATUR, GA 30033-5918
(404) 501-7925
(404) 501-7473
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP4108
MEDICARE GROUP NUMBER
GA
Enumeration date
03/05/2007
Last updated
04/20/2012
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