Dekalb County Board Of Health

Specialty details in registry · Lithonia, GA

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At a glance

2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252

NPPES record updated May 27, 2026. Public records can lag behind changes at a practice.

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Practice location

2277 Stone Mountain Lithonia Rd
Lithonia, GA 30058-5252
Professional details: NPI, taxonomy & registry record
NPI1003912155
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251K00000X
Enumeration date
Sep 16, 2006
Record updated
May 27, 2026
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

163WC0400X

Specialty details in registry

251K00000X · Primary

Specialty details in registry

251K00000X

Specialty details in registry

251X00000X

Specialty details in registry

261QA0006X

Specialty details in registry

261QF0400X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2277 Stone Mountain Lithonia Rd
Lithonia, GA 30058-5252
Phone
(770) 484-2600
Fax
(770) 484-0155
Mailing address
445 WINN WAY
PO BOX 987
DECATUR, GA 300301707
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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