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DEKALB GPO LLC NPI 1538586995


NPI Information

NPI: 1538586995
Provider Name: DEKALB GPO LLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
2801 N DECATUR RD
SUITE 200
DECATUR, GA
ZIP 30033
Phone: (404) 296-5005
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DEKALB GPO LLC is an adult medicine family medicine in Decatur, GA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DEKALB GPO LLC NPI is 1538586995. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2801 N DECATUR RD
SUITE 200
DECATUR, GA
ZIP 30033-949
Phone: (404) 296-5005
Fax: (404) 296-9417

The provider's authorized official is Brian Pallone .
The authorized official title is Practice Administrator and has the following contact phone number (404) 296-5005.

The enumeration date for this NPI number is 3/24/2014 and was last updated on 3/24/2014.


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
1207QA0505XFamily MedicineAdult MedicineYes

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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