PONCE PRIMARY CARE LLC is a primary care clinic center in Decatur, GA. PONCE PRIMARY CARE LLC NPI is 1477865681. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Ponce Preventive Care Llc.
The provider's business location address is:
315 W PONCE DE LEON AVE STE 110
DECATUR, GA
ZIP 30030-441
Phone: (404) 537-2521
Fax: (844) 246-7292
The provider's authorized official is Rosa Figueroa .
The authorized official title is Practice Administrator and has the following contact phone number (404) 537-2521.
The CLIA number assigned to this NPI record is 11D1093939 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/6/2010 and was last updated on 1/17/2024.