| NPI | 1962804559 |
|---|---|
| Doing Business As | DEKALB HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PENNY LYNN GRIFFIN Credentialing 260-333-7675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |