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1255584744
DEKALB FAMILY PRACTICE, P.C.
STONE MOUNTAIN, GA
NPI
1255584744
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Entity Type
Organization
Authorized Contact
EDWARD ALVIN CORKRAN
President
404-292-5676
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 030034)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
DEKALB FAMILY PRACTICE, P.C.
5462 MEMORIAL DR SUITE 202
STONE MOUNTAIN, GA 30083-3239
Phone number: 404-292-5676
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Mailing Address
DEKALB FAMILY PRACTICE, P.C.
5462 MEMORIAL DR SUITE 202
STONE MOUNTAIN, GA 30083-3239
Phone number: 404-292-5676
Copy
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