| Saint Josephs Mercy Care - Mercy Dekalb Csb | |
|
445 Winn Way Decatur GA 30030-1707 | |
| (678) 843-8600 | |
| (678) 843-8601 |
| Full Name | Saint Josephs Mercy Care - Mercy Dekalb Csb |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 445 Winn Way, Decatur, Georgia |
| Authorized Official Name and Position | E Thomas Andrews (PRESIDENT) |
| Authorized Official Contact | 6788438502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Josephs Mercy Care - Mercy Dekalb Csb 424 Decatur St Se Atlanta GA 30312-1848 Ph: (678) 843-8600 | Saint Josephs Mercy Care - Mercy Dekalb Csb 445 Winn Way Decatur GA 30030-1707 Ph: (678) 843-8600 |
| NPI Number | 1861893216 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 10/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861893216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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