| Heritage Medical Inc | |
|
3300 Memorial Dr Ste D4 Decatur GA 30032-2700 | |
| (404) 289-2500 | |
| Not Available |
| Full Name | Heritage Medical Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3300 Memorial Dr, Decatur, Georgia |
| Authorized Official Name and Position | Julius B Oderinde (OWNER) |
| Authorized Official Contact | 4042892500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Medical Inc 3300 Memorial Dr Ste D4 Decatur GA 30032-2700 Ph: (404) 289-2500 | Heritage Medical Inc 3300 Memorial Dr Ste D4 Decatur GA 30032-2700 Ph: (404) 289-2500 |
| NPI Number | 1700975414 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700975414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036658 (Georgia) | Primary |
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