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NPI Code Detail

MEDICARE: DBDT, LLC

MEDICARE: DBDT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1992223226
Entity Type Code : Organization
Provider Name (Legal Business Name) : DBDT, LLC
Provider Business Mailing Address
First Line : 1373 CLEVELAND AVE
Second Line :
City : ATLANTA
State : GA
Zip : 30344-3423
Country : US
Telephone Number : 678-573-2970
Fax Number : 678-967-0963
Provider Business Practice Location Address
First Line : 1373 CLEVELAND AVE
Second Line :
City : ATLANTA
State : GA
Zip : 30344-3423
Country : US
Telephone Number : 678-573-2970
Fax Number : 678-967-0963
Authorized Official
Title or Position : OWNER
Name : MISS KIRBI MICHELLE TURNER
Credential : MS
Telephone Number : 504-346-1255
Provider Enumeration Date : 09/07/2017
Last Update Date : 07/21/2022

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Directions to “DBDT, LLC ” Practice Location

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