Individual provider · Type 1 NPI

Diana Spock Adebulehin, P.A.-C.

Surgical Physician Assistant · Decatur, GA

NPI number 1700965159 Active

Practice location

1014 Sycamore Dr, Ste. B
Decatur, GA 30030-1644

Call (404) 299-1700 Map

Fax (404) 299-1616

Mailing address

200 Ivy Glen Cir
Avondale Estates, GA 30002-1766

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X004458 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1700965159

Diana Spock Adebulehin, P.A.-C.'s National Provider Identifier is 1700965159, issued on Nov 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Decatur, GA. The record was last updated on Jul 9, 2007.