| Destiny Family Medical Center, Llc | |
|
3654 Chattahoochee Summit Dr Se Atlanta GA 30339-3254 | |
| (404) 721-2444 | |
| Not Available |
| Full Name | Destiny Family Medical Center, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3654 Chattahoochee Summit Dr Se, Atlanta, Georgia |
| Authorized Official Name and Position | Olakunle Ajibola (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4047212444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Family Medical Center, Llc 3654 Chattahoochee Summit Dr Se Atlanta GA 30339-3254 Ph: () - | Destiny Family Medical Center, Llc 3654 Chattahoochee Summit Dr Se Atlanta GA 30339-3254 Ph: (404) 721-2444 |
| NPI Number | 1902236656 |
|---|---|
| Provider Enumeration Date | 11/16/2013 |
| Last Update Date | 11/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902236656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 064750 (Georgia) | Primary |
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