| NPI | 1346669546 |
|---|---|
| Doing Business As | DEKALB HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PENNY LYNN GRIFFIN Credentialing 260-920-2794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |