Dekalb Pediatric Center

NPI #1164695458 in Decatur, Georgia

Provider Information

NPI Number: 1164695458
Entity Type: Organization
Organization Name: Dekalb Pediatric Center
Primary Specialty: Pediatrics
Enumeration Date: Apr 8, 2008
Last Updated: Apr 8, 2008

Practice Location

Address: 350 WINN WAY
City: Decatur
State: Georgia
ZIP Code: 30030-2106
Phone: (404) 508-1177

Authorized Official

Name: DR. JANE WILKOV, MD
Title: OWNER
Phone: (404) 508-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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