| Dekalb Family Practice, P.c. | |
|
5462 Memorial Dr Suite 202 Stone Mountain GA 30083-3239 | |
| (404) 292-5676 | |
| (404) 299-8657 |
| Full Name | Dekalb Family Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 5462 Memorial Dr, Stone Mountain, Georgia |
| Authorized Official Name and Position | Edward Alvin Corkran (PRESIDENT) |
| Authorized Official Contact | 4042925676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dekalb Family Practice, P.c. 5462 Memorial Dr Suite 202 Stone Mountain GA 30083-3239 Ph: (404) 292-5676 | Dekalb Family Practice, P.c. 5462 Memorial Dr Suite 202 Stone Mountain GA 30083-3239 Ph: (404) 292-5676 |
| NPI Number | 1255584744 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255584744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 030034 (Georgia) | Primary |
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Hope Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Memorial Dr, Suite 110-112, Stone Mountain, GA 30083 Phone: 678-704-0306 Fax: 678-704-0706 | |
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