Provider Demographics
NPI:1760634059
Name:DBHG ENTERPRISES LLC
Entity Type:Organization
Organization Name:DBHG ENTERPRISES LLC
Other - Org Name:DEKALB HYPERBARIC MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:GELLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-422-0517
Mailing Address - Street 1:1341 CANTON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-6056
Mailing Address - Country:US
Mailing Address - Phone:770-422-0517
Mailing Address - Fax:678-638-7015
Practice Address - Street 1:5700 HILLANDALE DR BLDG 200
Practice Address - Street 2:SUITE 210
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-4103
Practice Address - Country:US
Practice Address - Phone:770-593-9450
Practice Address - Fax:770-593-9947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA023892146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
10619350OtherCAQH
1467565481OtherNATIONAL PROVIDER NUMBER (PERSONAL)
93BDDD2Medicare UPIN