Meadows Med Group INC

NPI #1003125881 in Tucker, Georgia

Provider Information

NPI Number: 1003125881
Entity Type: Organization
Organization Name: Meadows Med Group INC
Primary Specialty: Family Medicine
Enumeration Date: Sep 28, 2010
Last Updated: Oct 27, 2010

Practice Location

Address: 4426 HUGH HOWELL RD
Address 2: STE 429
City: Tucker
State: Georgia
ZIP Code: 30084-4918
Phone: (404) 667-9648

Authorized Official

Name: DAVID DERRER
Title: CEO
Phone: (404) 667-9648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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