Dekalbcommunityserviceboard

LBN: Dekalbcommunityserviceboard
Dekalbcommunityserviceboard is an health care organization with primary practice located at 1662 Kanawha Dr , Stone Mountain GA 30087-2116. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Dekalbcommunityserviceboard can be contacted via phone (404) 243-9500, or through Siddappa, Doddametikur S via phone (404) 243-9500.

Contact Information

Primary practice address
1662 Kanawha Dr Stone Mountain GA 30087-2116
Phone: (404) 243-9500
Fax: (404) 244-2224
Website:
Map and Directions
Authorized official contact:
Name: Siddappa, Doddametikur S Doctor of Medicine (MD)
Phone: (404) 243-9500

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 021810 Georgia

Profile Details

NPI number 1457565541
LBN Legal business name Dekalbcommunityserviceboard
DBA Doing business as
Authorized official Siddappa, Doddametikur S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Dec 4th, 2007 - about 19 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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