| Atlanta Functional & Integrative Medicine | |
|
2786 N Decatur Rd Decatur GA 30033-5928 | |
| (678) 561-5026 | |
| Not Available |
| Full Name | Atlanta Functional & Integrative Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2786 N Decatur Rd, Decatur, Georgia |
| Authorized Official Name and Position | Bindiya Gandhi (OWNER) |
| Authorized Official Contact | 6785615026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Functional & Integrative Medicine 2220 Fisher Trl Ne Atlanta GA 30345-3433 Ph: () - | Atlanta Functional & Integrative Medicine 2786 N Decatur Rd Decatur GA 30033-5928 Ph: (678) 561-5026 |
| NPI Number | 1962938043 |
|---|---|
| Provider Enumeration Date | 05/10/2017 |
| Last Update Date | 05/10/2017 |
| Medicare PECOS PAC ID | 4981977691 |
|---|---|
| Medicare Enrollment ID | O20170831001164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962938043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Emily C Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235345588 PECOS PAC ID: 7517058134 Enrollment ID: I20070810000095 |
| Provider Name | Bindiya Jay Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437445574 PECOS PAC ID: 0941449128 Enrollment ID: I20131028000440 |
| Provider Name | Murray M Van Lear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568865509 PECOS PAC ID: 1254655152 Enrollment ID: I20150126000710 |
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