# NETCARE MEDICAL CLINIC DECATUR, INC

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

## Provider details

- **NPI number:** 1598041741
- **Authorized official:** DR. MICHAEL SOLOMON M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (314) 517-5012

## Contact information

- **Practice address:** 4284 MEMORIAL DR STE C, SUITE C, DECATUR, GA 30032-1220
- **Practice address phone:** (404) 592-2020
- **Practice address fax:** (404) 592-1592
- **Mailing address:** 4284 MEMORIAL DR STE C, SUITE C, DECATUR, GA 30032-1220
- **Mailing address phone:** (404) 592-2020
- **Mailing address fax:** (404) 592-1592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/01/2011
- **Last updated:** 11/07/2011