# FIRSTSTOP MEDICAL CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1538912423
- **Authorized official:** GLORY DIOH-ESONA FNP (OWNER)
- **Authorized official phone:** (404) 494-6774

## Contact information

- **Practice address:** 3375 MEMORIAL DR STE G, DECATUR, GA 30032-2706
- **Practice address phone:** (404) 494-6774
- **Mailing address:** 3375 MEMORIAL DR STE G, DECATUR, GA 30032-2706
- **Mailing address phone:** (470) 446-2137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2024
- **Last updated:** 02/24/2025