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DEKALB MEDICAL SPECIALTY CARE GROUP LLC NPI 1063663037


NPI Information

NPI: 1063663037
Provider Name: DEKALB MEDICAL SPECIALTY CARE GROUP LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2701 N DECATUR RD
DECATUR, GA
ZIP 30033
Phone: (404) 501-3870
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DEKALB MEDICAL SPECIALTY CARE GROUP LLC is a neurology psychiatry neurology in Decatur, GA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DEKALB MEDICAL SPECIALTY CARE GROUP LLC NPI is 1063663037. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2701 N DECATUR RD
DECATUR, GA
ZIP 30033-918
Phone: (404) 501-3870

The provider's authorized official is Duane Barclay .
The authorized official title is Administrator and has the following contact phone number (404) 501-5215.

The enumeration date for this NPI number is 10/8/2008 and was last updated on 10/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyNo
22086S0129XSurgeryVascular SurgeryNo
32086X0206XSurgerySurgical OncologyNo
42084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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