Dekalb Family Practice, P.C.

LBN: Dekalb Family Practice, P.C.
Dekalb Family Practice, P.C. is an health care organization with primary practice located at 5462 Memorial Dr Suite 202, Stone Mountain GA 30083-3239. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dekalb Family Practice, P.C. can be contacted via phone (404) 292-5676, or through Corkran, Edward Alvin via phone (404) 292-5676.

Contact Information

Primary practice address
5462 Memorial Dr Suite 202 Stone Mountain GA 30083-3239
Phone: (404) 292-5676
Fax: (404) 299-8657
Website:
Map and Directions
Authorized official contact:
Name: Corkran, Edward Alvin Doctor of Osteopathy (DO)
Phone: (404) 292-5676

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 030034 Georgia

Profile Details

NPI number 1255584744
LBN Legal business name Dekalb Family Practice, P.C.
DBA Doing business as
Authorized official Corkran, Edward Alvin Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2008
Last updated Oct 28th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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