| Stone Mountain Family Medicine Pc | |
|
1183 S Hairston Rd Ste A Stone Mountain GA 30088-2796 | |
| (404) 296-8858 | |
| (404) 296-5599 |
| Full Name | Stone Mountain Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1183 S Hairston Rd Ste A, Stone Mountain, Georgia |
| Authorized Official Name and Position | Rhoit M Desai (PROVIDER/OWNER) |
| Authorized Official Contact | 4042968858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Mountain Family Medicine Pc 1183 S Hairston Rd Ste A Stone Mountain GA 30088-2796 Ph: (404) 296-8858 | Stone Mountain Family Medicine Pc 1183 S Hairston Rd Ste A Stone Mountain GA 30088-2796 Ph: (404) 296-8858 |
| NPI Number | 1194283689 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 03/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194283689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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