Decatur Medical Group Llc in Marietta - General Practice
Decatur Medical Group Llc - NPI 1548459043
Decatur Medical Group Llc is a General Practice in Marietta, Georgia. Decatur Medical Group Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Decatur Medical Group Llc is 1548459043. The last update date is 2007-10-20.
Decatur Medical Group Llc's current location address is 445 Windy Hill Rd Se # 222, Marietta, Georgia. You can contact this provider via phone number 4042842120 and fax number 4042842126. The mailing address for Decatur Medical Group Llc is 445 Windy Hill Rd Se # 222, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Decatur Medical Group Llc |
|---|---|
| Address | 445 Windy Hill Rd Se # 222, Marietta, Georgia |
| Phone Number | 4042842120 |
| Fax Number | 4042842126 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Santana M Jean |
| Telephone Number | 4044350663 |
NPI Number Detail
| NPI Number | 1548459043 |
|---|---|
| Provider Enumeration Date | 2007-10-20 |
| Last Updated Date | 2007-10-20 |
Provider Mailing Address Detail
| Address | 445 Windy Hill Rd Se # 222 |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300607342 |
| Phone Number | 4042842120 |
| Fax Number | 4042842126 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the Decatur Medical Group Llc's 1548459043?
The Decatur Medical Group Llc's NPI (National Provider Identifier) Number is 1548459043. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Decatur Medical Group Llc located?
The Decatur Medical Group Llc is located at 445 Windy Hill Rd Se # 222, Marietta, GA 300607342.
What is Decatur Medical Group Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Decatur Medical Group Llc is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.
On what date was the 1548459043 assigned to Decatur Medical Group Llc?
The Decatur Medical Group Llc was issued its 1548459043 on 2007-10-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Decatur Medical Group Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Decatur Medical Group Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-20.
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