Organization · Type 2 NPI
Coralie Medical, LLC
General Practice Physician · Decatur, GA
NPI number
1972429454
Active
Practice location
167 Vidal Blvd
Decatur, GA 30030-2346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1972429454
Coralie Medical, LLC's National Provider Identifier is 1972429454, issued on Jun 29, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Decatur, GA. The record was last updated on Jun 29, 2026.