| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/20/2007 |
| Last Update Date | 10/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548459043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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