MEADOWS MED GROUP INC NPI 1003125881

NPI Information

  • NPI: 1003125881
  • Provider Name: MEADOWS MED GROUP INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 4426 HUGH HOWELL RD
    STE 429
    TUCKER, GA
    ZIP 30084
  • Phone: (404) 667-9648

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NPI Details

MEADOWS MED GROUP INC is a family medicine in Tucker, 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. MEADOWS MED GROUP INC NPI is 1003125881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4426 HUGH HOWELL RD
STE 429
TUCKER, GA
ZIP 30084-918
Phone: (404) 667-9648

The provider's authorized official is David Derrer .
The authorized official title is Ceo and has the following contact phone number (404) 667-9648.

The enumeration date for this NPI number is 9/28/2010 and was last updated on 10/27/2010.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine054181GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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