Organization · Type 2 NPI

Mountain Park Primary Care Center

General Practice Physician · Stone Mountain, GA

NPI number 1497955678 Active

Practice location

1755 E Park Place Blvd
Stone Mountain, GA 30087-3459

Fax (770) 469-7010

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X021187 (GA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

4 other providers at this address

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About NPI 1497955678

Mountain Park Primary Care Center's National Provider Identifier is 1497955678, issued on Jul 24, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Jul 24, 2007.