Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Diana Spock Adebulehin, PA-C

Individual provider Surgical Physician Assistant · NPI 1700965159

Mrs. Diana Spock Adebulehin, PA-C is a Surgical Physician Assistant in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1014 Sycamore Dr Ste B
Decatur, GA 30030-1644
Phone: (404) 299-1700
Fax: (404) 299-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 004458 (GA)

Record details

NPI number1700965159
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESJuly 9, 2007

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