institution
South Dekalb Primary Care, Pc
Health Service Clinic/Center in Decatur, Georgia
NPI 1063538924

South Dekalb Primary Care, Pc is a Health Service Clinic/Center based in Decatur, GA and is specialized in Health Service. South Dekalb Primary Care, Pc practices in Decatur, GA. The NPI Number for South Dekalb Primary Care, Pc is 1063538924 and holds a License No. 156445 (Georgia).

The current practice location address for South Dekalb Primary Care, Pc is 1290 Columbia Dr, Decatur, GA and can be reached out via phone at 404-289-1952 and via fax at 404-289-1953.

Location: 1290 Columbia Dr, Decatur, GA, 30032-2824
institution
Provider Profile Details
NPI Number
1063538924
Provider Name
South Dekalb Primary Care, Pc
Credential
Provider Entity Type
Organization
Address
1290 Columbia Dr, Decatur, GA, 30032-2824
Phone Number
404-289-1952
Fax Number
404-289-1953
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
156445 01 GA BUSINESS LICENSE
institution
Provider Business Practice Location Address Details
Address
1290 Columbia Dr
City
State
Zip
30032-2824
Phone Number
404-289-1952
Fax Number
404-289-1953
person
Provider Business Mailing Address Details
Address
1290 Columbia Dr
City
State
Zip
30032-2824
Phone Number
404-289-1952
Fax Number
404-289-1953
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
156445 (Georgia)
Definition
Definition to come...
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