Organization
DEKALB FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE A LING (ADMINISTRATOR)
(770) 220-0741
Entity
Organization
Contact information
Practice address
4961 BUFORD HWY, CHAMBLEE, GA 30341-3503
(770) 220-0741
(770) 220-2839
Mailing address
PO BOX 48833, DORAVILLE, GA 30362-1833
(770) 220-0741
(770) 220-2839
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
8010
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8010
BUSINESS LICENSE
GA
Enumeration date
03/22/2007
Last updated
08/22/2020
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