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Organization
METRO MEDICAL ASSOCIATES OF DECATUR, LLC
Active
Organization
METRO MEDICAL ASSOCIATES OF DECATUR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHARMARAJ PATIL MD (MEMBER MANAGER)
(678) 777-0719
Entity
Organization
Contact information
Practice address
1829 LAWRENCEVILLE HWY, DECATUR, GA 30033-5728
(404) 292-8335
(678) 904-2649
Mailing address
11379 SOUTHBRIDGE PKWY, SUITE A, ALPHARETTA, GA 30022-4402
(770) 777-0750
(770) 777-0521
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
054164
GA
207R00000X
Internal Medicine Physician
042386
GA
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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