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DEKALB WOMEN'S SPECIALISTS NPI 1225085475


NPI Information

NPI: 1225085475
Provider Name: DEKALB WOMEN'S SPECIALISTS
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 11D2047066

Address:
1458 CHURCH ST STE B
DECATUR, GA
ZIP 30030
Phone: (404) 508-2000
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DEKALB WOMEN'S SPECIALISTS is an obstetrics gynecology in Decatur, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DEKALB WOMEN'S SPECIALISTS NPI is 1225085475. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1458 CHURCH ST STE B
DECATUR, GA
ZIP 30030-672
Phone: (404) 508-2000
Fax: (404) 508-5560

The provider's authorized official is Sabrina Scott .
The authorized official title is Practice Liaison and has the following contact phone number (404) 376-4155.

The CLIA number assigned to this NPI record is 11D2047066 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 10/15/2021.


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
1207V00000XObstetrics & GynecologyGEORGIAYes

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: 4/28/2024

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