Organization
FAMILY PRACTICE OF ATLANTA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUIE JONES (DIRECTOR, BUSINESS AFFAIRS)
(404) 296-8100
Entity
Organization
Contact information
Practice address
1670 SCOTT BLVD, DECATUR, GA 30033-5605
(404) 296-8100
Mailing address
1428 SCOTT BLVD, DECATUR, GA 30030-1424
(404) 296-8100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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