# PRIMARY MEDICAL CARE GROUP

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

## Provider details

- **NPI number:** 1689737603
- **Authorized official:** MUSIBAU A IBRAHEEM MD (PHYSICIAN OWNER)
- **Authorized official phone:** (404) 289-9784

## Contact information

- **Practice address:** 5322 SNAPFINGER PARK DR, DECATUR, GA 30035-4040
- **Practice address phone:** (404) 289-9784
- **Practice address fax:** (404) 289-9785
- **Mailing address:** 5322 SNAPFINGER PARK DR, DECATUR, GA 30035-4040
- **Mailing address phone:** (404) 289-9784
- **Mailing address fax:** (404) 289-9785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 052963 | GA | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 03/29/2021