Organization
MEADOWS MED GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DERRER (CEO)
(404) 667-9648
Entity
Organization
Contact information
Practice address
4426 HUGH HOWELL RD, STE 429, TUCKER, GA 30084-4918
(404) 667-9648
Mailing address
4426 HUGH HOWELL RD, STE 429, TUCKER, GA 30084-4918
(404) 667-9648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054181
GA
Other
Enumeration date
09/28/2010
Last updated
10/27/2010
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