| Decatur Pediatric Group | |
|
4112 E Ponce De Leon Ave Clarkston GA 30021-8106 | |
| (404) 296-7133 | |
| Not Available |
| Full Name | Decatur Pediatric Group |
|---|---|
| Speciality | Pediatrics |
| Location | 4112 E Ponce De Leon Ave, Clarkston, Georgia |
| Authorized Official Name and Position | Melvin B Price (PRESIDENT & CEO) |
| Authorized Official Contact | 9417764000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Pediatric Group 101 Riverfront Blvd Ste 710 Bradenton FL 34205-8812 Ph: (941) 776-4000 | Decatur Pediatric Group 4112 E Ponce De Leon Ave Clarkston GA 30021-8106 Ph: (404) 296-7133 |
| NPI Number | 1104565910 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104565910 | NPI | - | NPPES |
Clarkston Primary & Urgent Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4600 E Ponce De Leon Ave Ste A, Clarkston, GA 30021 Phone: 770-703-5408 Fax: 877-779-5837 | |
Greater Atlanta Family Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3700 Market St, Ste C, Clarkston, GA 30021 Phone: 404-298-9333 Fax: 404-298-9931 | |
Ethne Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 980 Rowland St Ste 4190, Clarkston, GA 30021 Phone: 470-799-0044 Fax: 470-799-0045 | |
Revive Wound Care Ga Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Rowland St, Ste 5140 #1111, Clarkston, GA 30021 Phone: 951-760-6216 | |
Clarkston Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Market St, Suite E-1, Clarkston, GA 30021 Phone: 678-359-2060 | |
Lifeline Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3660 Market St, Clarkston, GA 30021 Phone: 470-355-7896 |