Decatur Medical Group Llc | |
445 Windy Hill Rd Se # 222 Marietta GA 30060-7342 | |
(404) 284-2120 | |
(404) 284-2126 |
Full Name | Decatur Medical Group Llc |
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Speciality | General Practice |
Location | 445 Windy Hill Rd Se # 222, Marietta, Georgia |
Authorized Official Name and Position | Jean M Santana (PRESIDENT/OWNER) |
Authorized Official Contact | 4044350663 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Decatur Medical Group Llc 445 Windy Hill Rd Se # 222 Marietta GA 30060-7342 Ph: (404) 284-2120 | Decatur Medical Group Llc 445 Windy Hill Rd Se # 222 Marietta GA 30060-7342 Ph: (404) 284-2120 |
NPI Number | 1548459043 |
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Provider Enumeration Date | 10/20/2007 |
Last Update Date | 10/20/2007 |
Identifier | Type | State | Issuer |
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1548459043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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