| East Atlanta Family Medicine | |
|
3660 Flat Shoals Rd Suite 200 Decatur GA 30034-1632 | |
| (404) 244-1813 | |
| (404) 244-1831 |
| Full Name | East Atlanta Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3660 Flat Shoals Rd, Decatur, Georgia |
| Authorized Official Name and Position | Eugene W Williams (CEO/PHYSICIAN) |
| Authorized Official Contact | 4042441813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Atlanta Family Medicine 3660 Flat Shoals Rd Suite 250 Decatur GA 30034-1632 Ph: (404) 244-1813 | East Atlanta Family Medicine 3660 Flat Shoals Rd Suite 200 Decatur GA 30034-1632 Ph: (404) 244-1813 |
| NPI Number | 1023320942 |
|---|---|
| Provider Enumeration Date | 07/08/2010 |
| Last Update Date | 07/06/2012 |
| Medicare PECOS PAC ID | 7214122894 |
|---|---|
| Medicare Enrollment ID | O20101109000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023320942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 54954 (Georgia) | Primary |
| Provider Name | Eugene W Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366551384 PECOS PAC ID: 5698723617 Enrollment ID: I20050106000588 |
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