Organization

Atlanta Family Physicians Pc

Clinic/Center in Decatur, GA(View on Map)

Legal Business Name

Atlanta Family Physicians Pc

NPI Number

1194914135

NPI Type

Organization

Enumeration Date

10/16/2007

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

045842

Contact
Information

Purpose

Mailing
Location

Address

3424 FLAT SHOALS RD
3424 FLAT SHOALS RD

City

Decatur
Decatur

State

GA
GA

Postal Code

30034-6525
30034-6525

Country

US
US

Telephone Number

(404) 968-8269
(404) 968-8269

Authorized Official

Name

Dr. Ahmad Jingo

Title or Position

PROVIDER

Telephone Number

(404) 968-8269

Identifiers

Identifier

110229622
GRP3465
11BDQPM
00804339D

Identifier State

GA
GA
GA
GA

Identifier Issuer

MEDICARE R/R
MEDICARE GROUP NO.
MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/11/2023

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