Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dekalb Family Practice, PC

Organization Family Medicine Physician · NPI 1255584744

Dekalb Family Practice, PC is a Family Medicine Physician in Stone Mountain, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5462 Memorial Dr Ste 202
Stone Mountain, GA 30083-3239
Phone: (404) 292-5676
Fax: (404) 299-8657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 030034 (GA)

Record details

NPI number1255584744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Corkran — President · (404) 292-5676
NPI enumeratedOctober 28, 2008
Last updated in NPPESOctober 28, 2008
Mailing address5462 Memorial Dr, Suite 202, Stone Mountain, GA 30083-3239

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