MCR HEALTH INC. NPI 1104565910

NPI Information

  • NPI: 1104565910
  • Provider Name: MCR HEALTH, INC.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: DECATUR PEDIATRIC GROUP
  • Address: 4112 E PONCE DE LEON AVE
    CLARKSTON, GA
    ZIP 30021
  • Phone: (404) 296-7133

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NPI Details

MCR HEALTH, INC. is a pediatrics in Clarkston, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MCR HEALTH, INC. NPI is 1104565910. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Decatur Pediatric Group.

The provider's business location address is:

4112 E PONCE DE LEON AVE
CLARKSTON, GA
ZIP 30021-106
Phone: (404) 296-7133

The provider's authorized official is Melvin B Price .
The authorized official title is President & Ceo and has the following contact phone number (941) 776-4000.

The enumeration date for this NPI number is 5/31/2022 and was last updated on 6/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsYes

What is NPI?

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This page was last updated on: 3/30/2025

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