Organization
FAMILY PRACTICE OF ATLANTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONDI SADDIA MOORE-WATERS M.D. (MEDICAL DIRECTOR)
(404) 296-8100
Entity
Organization
Contact information
Practice address
1428 SCOTT BLVD, DECATUR, GA 30030-1424
(404) 296-8100
(404) 294-8467
Mailing address
1428 SCOTT BLVD, DECATUR, GA 30030-1424
(404) 296-8100
(404) 294-8467
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
031294
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6402
MEDICARE GROUP
GA
Enumeration date
11/16/2007
Last updated
03/04/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us