| NPI | 1548505597 |
|---|---|
| Other Name | DEKALB HEALTH MEDICAL GROUP-SURGERY |
| Entity Type | Organization |
| Authorized Contact | PENNY LYNN GRIFFIN Billing/Collection Manager 260-920-2794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |