Organization
METRO MEDICAL ASSOCIATES OF DECATUR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHARMARAJ PATIL MD (MEMBER MANAGER)
(678) 777-0719
Entity
Organization
Contact information
Practice address
1829 LAWRENCEVILLE HWY, DECATUR, GA 30033-5728
(404) 292-8335
(678) 904-2649
Mailing address
11379 SOUTHBRIDGE PKWY, SUITE A, ALPHARETTA, GA 30022-4402
(770) 777-0750
(770) 777-0521
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
054164
GA
207R00000X
Internal Medicine Physician
042386
GA
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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