Dtg II Pllc

NPI #1851172647 in Decatur, Georgia

Provider Information

NPI Number: 1851172647
Entity Type: Organization
Organization Name: Dtg II Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: DTG II PLLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 160 CLAIREMONT AVE STE 200
City: Decatur
State: Georgia
ZIP Code: 30030-2546
Phone: (800) 268-7713

Authorized Official

Name: KANDY MORRIS
Title: SVP OF MANAGED CARE
Phone: (877) 795-2361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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