Organization · Type 2 NPI

PMR Georgia Holding, LLC

Non-Pharmacy Dispensing Site · Decatur, GA

NPI number 1508646779 Active

Practice location

3805 Covington Hwy
Decatur, GA 30032-2643

Call (404) 383-1300 Map

Fax (404) 383-0772

Mailing address

1395 NW 167th St
Miami Gardens, FL 33169-5710

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

3 other providers at this address

Other non-pharmacy dispensing site providers in Decatur

Wellstreet of Georgia PCNon-Pharmacy Dispensing Site Decatur, GA NPI 1861194938

See all in Decatur →

NPI record

NPI: 1508646779
Entity type: Organization (Type 2)
Issued: Oct 4, 2023
Last updated: Oct 4, 2023
Status: Active
Subpart: Yes of PMR Georgia Holding, LLC

Other names

Jencare Senior Medical Center Belvedere · doing business as

Authorized official

Mary Chen
Authorized Official
(305) 628-6117

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508646779

PMR Georgia Holding, LLC's National Provider Identifier is 1508646779, issued on Oct 4, 2023. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Decatur, GA. The record was last updated on Oct 4, 2023.