| Primary Medical Care Group | |
|
5322 Snapfinger Park Dr Decatur GA 30035-4040 | |
| (404) 289-9784 | |
| (404) 289-9785 |
| Full Name | Primary Medical Care Group |
|---|---|
| Speciality | Family Medicine |
| Location | 5322 Snapfinger Park Dr, Decatur, Georgia |
| Authorized Official Name and Position | Musibau A Ibraheem (PHYSICIAN OWNER) |
| Authorized Official Contact | 4042899784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medical Care Group 5322 Snapfinger Park Dr Decatur GA 30035-4040 Ph: (404) 289-9784 | Primary Medical Care Group 5322 Snapfinger Park Dr Decatur GA 30035-4040 Ph: (404) 289-9784 |
| NPI Number | 1689737603 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 03/29/2021 |
| Medicare PECOS PAC ID | 5890897722 |
|---|---|
| Medicare Enrollment ID | O20070223000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689737603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 052963 (Georgia) | Primary |
| Provider Name | Musibau A Ibraheem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649247834 PECOS PAC ID: 0345342275 Enrollment ID: I20070301000524 |
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