National Provider Identifier Database

DECATUR MEDICAL GROUP LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

DECATUR MEDICAL GROUP LLC
445 WINDY HILL RD SE # 222
MARIETTA, GA30060-7342
Phone: 404-284-2120
Fax: 404-284-2126
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for DECATUR MEDICAL GROUP LLC

NPI Number 1548459043
Legal business name
LBN
DECATUR MEDICAL GROUP LLC
Authorized official JEAN SANTANA - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/20/2007
Last updated 10/20/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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