East Atlanta Family Medicine

NPI 1023320942 - Family Medicine - 207Q00000X

NPI Details
NPI 1023320942
Enumeration Date 07/08/2010
Last Updated 07/06/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EUGENE W EUGENE
Position CEO/PHYSICIAN
Phone (404) 244-1813
Fax (404) 244-1831
Practice Location
3660 FLAT SHOALS RD
SUITE 200
DECATUR GA, 30034-1632, US
Phone (404) 244-1813
Fax (404) 244-1831
Business Location
3660 FLAT SHOALS RD
SUITE 250
DECATUR GA, 30034-1632, US
Phone (404) 244-1813
Fax (404) 244-1831
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 54954
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According to our database, East Atlanta Family Medicine NPI is 1023320942, taxonomy code is 207Q00000X and license number is 54954, license state is located at Georgia. East Atlanta Family Medicine physically located at 3660 Flat Shoals Rd, Decatur GA, 30034-1632. NPI Number 1033115704 has the healthcare provider type.

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1023320942 NPI number is provided on an as is basis without warranty of any kind. 1023320942 is maintained by the National Plan & Provider Enumeration System. The contents of East Atlanta Family Medicine are for informational purposes only.