institution
Family Practice Of Atlanta Llc
Primary Care Clinic/Center in Decatur, Georgia
NPI 1790966976

Family Practice Of Atlanta Llc is a Primary Care Clinic/Center based in Decatur, GA and is specialized in Primary Care. Family Practice Of Atlanta Llc practices in Decatur, GA. The NPI Number for Family Practice Of Atlanta Llc is 1790966976 and holds a License No. 031294 (Georgia).

The current practice location address for Family Practice Of Atlanta Llc is 1428 Scott Blvd, Decatur, GA and can be reached out via phone at 404-296-8100 and via fax at 404-294-8467.

Location: 1428 Scott Blvd, Decatur, GA, 30030-1424
institution
Provider Profile Details
NPI Number
1790966976
Provider Name
Family Practice Of Atlanta Llc
Credential
Provider Entity Type
Organization
Address
1428 Scott Blvd, Decatur, GA, 30030-1424
Phone Number
404-296-8100
Fax Number
404-294-8467
Provider Enumeration Date
11/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRP6402 01 GA MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
1428 Scott Blvd
City
State
Zip
30030-1424
Phone Number
404-296-8100
Fax Number
404-294-8467
person
Provider Business Mailing Address Details
Address
1428 Scott Blvd
City
State
Zip
30030-1424
Phone Number
404-296-8100
Fax Number
404-294-8467
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
031294 (Georgia)
Definition
Definition to come...
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