# METRO MEDICAL ASSOCIATES OF DECATUR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043526114
- **Authorized official:** DHARMARAJ PATIL MD (MEMBER MANAGER)
- **Authorized official phone:** (678) 777-0719

## Contact information

- **Practice address:** 1829 LAWRENCEVILLE HWY, DECATUR, GA 30033-5728
- **Practice address phone:** (404) 292-8335
- **Practice address fax:** (678) 904-2649
- **Mailing address:** 11379 SOUTHBRIDGE PKWY, SUITE A, ALPHARETTA, GA 30022-4402
- **Mailing address phone:** (770) 777-0750
- **Mailing address fax:** (770) 777-0521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 054164 | GA | Yes |
| 207R00000X | Internal Medicine Physician | 042386 | GA | — |

## Other

- **Enumeration date:** 08/26/2010
- **Last updated:** 08/26/2010