| Mid America Group Of Georgia Pc | |
|
160 Clairemont Ave Ste 200 Decatur GA 30030-2546 | |
| (317) 886-6637 | |
| (888) 547-0377 |
| Full Name | Mid America Group Of Georgia Pc |
|---|---|
| Speciality | Dentist |
| Location | 160 Clairemont Ave, Decatur, Georgia |
| Authorized Official Name and Position | Jewel Bernadette Smith (OWNER) |
| Authorized Official Contact | 3178866639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid America Group Of Georgia Pc 1499 Windhorst Way Ste 100 Greenwood IN 46143-8800 Ph: (317) 886-6639 | Mid America Group Of Georgia Pc 160 Clairemont Ave Ste 200 Decatur GA 30030-2546 Ph: (317) 886-6637 |
| NPI Number | 1306280458 |
|---|---|
| Provider Enumeration Date | 04/19/2013 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306280458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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