Dekalb Surgical Associates, P.c.

NPI #1770532590 in Decatur, Georgia

Provider Information

NPI Number: 1770532590
Entity Type: Organization
Organization Name: Dekalb Surgical Associates, P.c.
Primary Specialty: Specialist
Enumeration Date: May 9, 2006
Last Updated: Oct 2, 2012

Practice Location

Address: 2665 N DECATUR RD
Address 2: SUITE 730
City: Decatur
State: Georgia
ZIP Code: 30033-6149
Phone: (404) 508-4320

Authorized Official

Name: JOHN SARGENT KENNEDY, M.D.
Title: PRESIDENT
Phone: (404) 508-4320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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