Organization · Type 2 NPI
Dekalb Internal Medicine Associates, PC
Primary Care Clinic/Center · Tucker, GA
NPI number
1255615852
Active
Practice location
1980 Montreal Rd
Tucker, GA 30084-5217
Fax (770) 270-4061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 046623 (GA) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1255615852
Dekalb Internal Medicine Associates, PC's National Provider Identifier is 1255615852, issued on Oct 1, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Tucker, GA. The record was last updated on Oct 1, 2011.