# STONE MOUNTAIN FAMILY MEDICINE PC

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

## Provider details

- **NPI number:** 1194283689
- **Authorized official:** RHOIT M DESAI MD (PROVIDER/OWNER)
- **Authorized official phone:** (404) 296-8858

## Contact information

- **Practice address:** 1183 S HAIRSTON RD STE A, STONE MOUNTAIN, GA 30088-2796
- **Practice address phone:** (404) 296-8858
- **Practice address fax:** (404) 296-5599
- **Mailing address:** 1183 S HAIRSTON RD STE A, STONE MOUNTAIN, GA 30088-2796
- **Mailing address phone:** (404) 296-8858
- **Mailing address fax:** (404) 296-5599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2019
- **Last updated:** 03/04/2019