| Milestone Family Medicine | |
|
1438 Mclendon Dr Decatur GA 30033-1802 | |
| (770) 414-0337 | |
| (770) 414-0354 |
| Full Name | Milestone Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1438 Mclendon Dr, Decatur, Georgia |
| Authorized Official Name and Position | Obafemi Oluseun Okuwobi (PRESIDENT) |
| Authorized Official Contact | 7704140337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestone Family Medicine Po Box 15531 Atlanta GA 30333-0531 Ph: (770) 414-0337 | Milestone Family Medicine 1438 Mclendon Dr Decatur GA 30033-1802 Ph: (770) 414-0337 |
| NPI Number | 1114976743 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114976743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 050325 (Georgia) | Primary |
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