Dekalb Pediatric Associates PC

NPI #1376829911 in Tucker, Georgia

Provider Information

NPI Number: 1376829911
Entity Type: Organization
Organization Name: Dekalb Pediatric Associates PC
Subpart: Yes (part of a larger organization)
Parent Organization: DEKALB PEDIATRIC ASSOCIATES PC
Primary Specialty: Pediatrics
Enumeration Date: Oct 27, 2011
Last Updated: Oct 27, 2011

Practice Location

Address: 1390 MONTREAL RD STE 180
City: Tucker
State: Georgia
ZIP Code: 30084-8187
Phone: (404) 446-4600

Authorized Official

Name: DR. RONALD A HOMER, MD
Title: CEO
Phone: (404) 446-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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