Organization
RST MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE DUNN CCMA (PRESIDENT)
(404) 422-0027
Entity
Organization
Contact information
Practice address
4150 SNAPFINGER WOODS DR, 208, DECATUR, GA 30035-3417
(404) 826-2827
(404) 941-8788
Mailing address
4150 SNAPFINGER WOODS DR, 208, DECATUR, GA 30035-3417
(404) 826-2877
(404) 941-8788
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RN200088
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00804339D
—
GA
Enumeration date
03/19/2012
Last updated
09/12/2012
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