Organization
PRIMARY MEDICAL CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSIBAU A IBRAHEEM MD (PHYSICIAN OWNER)
(404) 289-9784
Entity
Organization
Contact information
Practice address
5322 SNAPFINGER PARK DR, DECATUR, GA 30035-4040
(404) 289-9784
(404) 289-9785
Mailing address
5322 SNAPFINGER PARK DR, DECATUR, GA 30035-4040
(404) 289-9784
(404) 289-9785
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
052963
GA
Other
Enumeration date
12/19/2006
Last updated
03/29/2021
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