Dekalb Neurology Group, Llc

LBN: Dekalb Neurology Group, Llc
Dekalb Neurology Group, Llc is an health care organization with primary practice located at 2665 N Decatur Rd Suite 540, Decatur GA 30033-6149. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Dekalb Neurology Group, Llc can be contacted via phone (404) 508-4008, or through Mabe, Amy via phone (404) 508-4008.

Contact Information

Primary practice address
2665 N Decatur Rd Suite 540 Decatur GA 30033-6149
Fax: (404) 508-4009
Website:
Authorized official contact:
Name: Mabe, Amy

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 055713 Georgia

Profile Details

NPI number 1649537416
LBN Legal business name Dekalb Neurology Group, Llc
DBA Doing business as
Authorized official Mabe, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2012
Last updated Apr 18th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649537416 NPPES
Georgia MEDICAID 13BDDXX

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