| Mcg, Inc. | |
|
3300 Memorial Dr Ste D1 Decatur GA 30032-2700 | |
| (404) 663-1135 | |
| (888) 678-1435 |
| Full Name | Mcg, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 3300 Memorial Dr Ste D1, Decatur, Georgia |
| Authorized Official Name and Position | Taryn L. Siddiq (FOUNDER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4046631135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcg, Inc. 1785 E Park Place Blvd Ste 201 Stone Mountain GA 30087-3458 Ph: (404) 663-1135 | Mcg, Inc. 3300 Memorial Dr Ste D1 Decatur GA 30032-2700 Ph: (404) 663-1135 |
| NPI Number | 1609279538 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 10/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609279538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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