Organization
DECATUR MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M SANTANA (PRESIDENT/OWNER)
(404) 435-0663
Entity
Organization
Contact information
Practice address
445 WINDY HILL RD SE # 222, MARIETTA, GA 30060-7342
(404) 284-2120
(404) 284-2126
Mailing address
445 WINDY HILL RD SE # 222, MARIETTA, GA 30060-7342
(404) 284-2120
(404) 284-2126
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/20/2007
Last updated
10/20/2007
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