NPI 1003125881

Meadows Med Group INC

Organisation Family Medicine Physician Tucker, GA

Practice location

Address: 4426 Hugh Howell Rd STE 429, Tucker, GA 30084-4918
Phone: (404) 667-9648

Authorised official

Name: David Derrer
Title: Ceo
Phone: (404) 667-9648

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 054181 (GA)

Other Family Medicine providers in Georgia →

Registry record

NPI: 1003125881
Entity type: Organization
NPI issued: 28 Sep 2010
Record last updated: 27 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.