PARK CENTRAL FAMILY PRACTICE INC. NPI 1922104306

NPI Information

PARK CENTRAL FAMILY PRACTICE, INC. is a family medicine in Decatur, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PARK CENTRAL FAMILY PRACTICE, INC. NPI is 1922104306. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4367 NEW SNAPFINGER WOODS DR
DECATUR, GA
ZIP 30035-920
Phone: (770) 981-2008
Fax: (770) 981-6302

The provider's authorized official is Terrie A Alexander .
The authorized official title is Practice Manager and has the following contact phone number (770) 981-2008.

The CLIA number assigned to this NPI record is 11D0937381 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 5/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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