Organization
MCR HEALTH, INC.
Active
Other names
Decatur Pediatric Group
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN B PRICE (PRESIDENT & CEO)
(941) 776-4000
Entity
Organization
Contact information
Practice address
4112 E PONCE DE LEON AVE, CLARKSTON, GA 30021-8106
(404) 296-7133
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
06/12/2023
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