DECATUR MEDICAL GROUP LLC; NPI #1548459043

Contact Information

DECATUR MEDICAL GROUP LLC

445 WINDY HILL RD SE # 222
MARIETTA, GA 30060-7342

Phone: 404-284-2120
Fax: 404-284-2126
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for DECATUR MEDICAL GROUP LLC

NPI Number	`1548459043`
LBN Legal business name	DECATUR MEDICAL GROUP LLC
Authorized official	JEAN SANTANA - (PRESIDENT/OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/20/2007
Last updated	10/20/2007 - About 19 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DECATUR MEDICAL GROUP LLC

Contact Information

Specialty

General Practice

NPI Profile & details for DECATUR MEDICAL GROUP LLC

Reviews for DECATUR MEDICAL GROUP LLC