Dr Medical Associates LLC
Internal Medicine, Geriatric Medicine in Douglasville, GA. Organization (NPI-2).
NPI number1982346151
StatusActive
Last updated in NPPESDec 22, 2023
Details
- NPI
- 1982346151
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Medical Associates LLC
- Organization subpart
- No
- Enumeration date
- Apr 8, 2022
- Certification date
- Dec 22, 2023
- Last updated
- Dec 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – | Yes |
| 2251G0304X | Physical Therapist, Geriatrics | – | – | |
| 2251X0800X | Physical Therapist, Orthopedic | – | – | |
| 291U00000X | Clinical Medical Laboratory | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 103T00000X | Psychologist | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 183500000X | Pharmacist | – | – |
Practice location
6853 Douglas Blvd Ste ADouglasville, GA 30135-7178
Phone 770-731-1114 · Fax 404-682-1396
Mailing address
6853 Douglas Blvd Ste ADouglasville, GA 30135-7178
Phone 770-731-1114
Authorized official
Ramon Ector
President
7707311114
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