| NPI | 1518185040 |
|---|---|
| Former Legal Business Name | DEKALB FAMILY MEDICINE ON CANDLER |
| Former Legal Business Name | DEKALB FAMILY MEDICINE ON CANDLER, LLC |
| Entity Type | Organization |
| Authorized Contact | SAMUEL D ARMSTRONG Administrator 678-521-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 155972) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2022-07-01 |