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1104077171
DEKALB MEDICAL PRIMARY CARE GROUP LLC
DECATUR, GA
NPI
1104077171
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Entity Type
Organization
Authorized Contact
DUANE BARCLAY
Administrator
404-501-5215
Organization Subpart ?
Yes
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2008-10-08
Last Update Date
2008-10-21
Business Address
DEKALB MEDICAL PRIMARY CARE GROUP LLC
2701 N DECATUR RD
DECATUR, GA 30033-5918
Phone number: 404-501-3870
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Mailing Address
DEKALB MEDICAL PRIMARY CARE GROUP LLC
2701 N DECATUR RD
DECATUR, GA 30033-5918
Phone number:
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