South Dekalb Primary Care, Pc

LBN: South Dekalb Primary Care, Pc
South Dekalb Primary Care, Pc is an health care organization with primary practice located at 1290 Columbia Dr , Decatur GA 30032-2824. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. South Dekalb Primary Care, Pc can be contacted via phone (404) 289-1952, or through Welch, Lisa via phone (404) 289-1952.

Contact Information

Primary practice address
1290 Columbia Dr Decatur GA 30032-2824
Phone: (404) 289-1952
Fax: (404) 289-1953
Website:
Map and Directions
Authorized official contact:
Name: Welch, Lisa Doctor of Medicine (MD)
Phone: (404) 289-1952

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 156445 Georgia

Profile Details

NPI number 1063538924
LBN Legal business name South Dekalb Primary Care, Pc
DBA Doing business as
Authorized official Welch, Lisa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Nov 25th, 2015 - about 11 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 1063538924 NPPES
Georgia Other 156445 BUSINESS LICENSE

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