DEKALB FAMILY PRACTICE, P.C.
Marriage and Family Therapists at Memorial Dr, Stone Mountain, GA

License number
Georgia 030034
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. EDWARD ALVIN CORKRAN D.O.
Title: PRESIDENT
Phone: (404) 292-5676
Address
Address
5462 Memorial Dr SUITE 202, Stone Mountain, GA 30083
National Provider ID: 1255584744
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Dekalb Family Practice

5462 Memorial Dr #202, Stone Mountain, GA 30083

Industry:
Medical Practice, Family Doctor
Doing business as:
DEKALB FAMILY PRACTICE, PC
Registration:
Feb 17, 1998
Phone:
(404) 292-5676 (Phone)
Description:
Dekalb Family Practice is a Medical Practice company located in 5462 Memorial Dr # 202, Stone Mountain, Georgia, United States.
State ID:
K806754
Business type:
Domestic Professional Corporation
CFOs:
T. Cassie Corkran (Secretary), 5462 Memorial Dr #202, Stone Mountain, GA 30083 (Physical),A. Edward Corkran (CEO), 5462 Memorial Dr #202, Stone Mountain, GA 30083 (Physical),J. Israel Cabanas (CFO), 5462 Memorial Dr #202, Stone Mountain, GA 30083 (Physical)
Agent:
George M. Fox,4788 Long Is Dr, Atlanta, GA 30342 (Physical)

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