Organization
THE PRIMARY CARE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE M MULLER (ADMINISTRATOR)
(404) 325-9600
Entity
Organization
Contact information
Practice address
2891-C NORTH DECATUR ROAD, DECATUR, GA 30033
(404) 298-0008
(404) 298-0087
Mailing address
PO BOX 28218, SANDY SPRINGS, GA 30358-0218
(404) 298-0008
(404) 298-0087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037451
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00586407D
—
GA
01
—
618571
BLUE CROSS GROUP
GA
01
—
GRP8080
MEDICARE GROUP
GA
Enumeration date
12/27/2006
Last updated
07/01/2015
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