Organization
ATLANTA FAMILY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD K JINGO M.D. (PROVIDER)
(404) 968-8269
Entity
Organization
Contact information
Practice address
3424 FLAT SHOALS RD, SUITE A, DECATUR, GA 30034-6525
(404) 968-8269
(404) 968-8274
Mailing address
3424 FLAT SHOALS RD, SUITE A, DECATUR, GA 30034-6525
(404) 968-8269
(404) 968-8274
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
045842
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00804339D
—
GA
01
—
110229622
MEDICARE R/R
GA
01
—
11BDQPM
MEDICARE
GA
01
—
GRP3465
MEDICARE GROUP NO.
GA
Enumeration date
10/16/2007
Last updated
12/11/2023
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