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MCR HEALTH INC. NPI 1699414409


NPI Information

NPI: 1699414409
Provider Name: MCR HEALTH, INC.

Doing Business As: DECATUR PEDIATRIC GROUP

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D0984625

Address:
3065 S COBB DR SE
SMYRNA, GA
ZIP 30080
Phone: (404) 296-7133
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MCR HEALTH, INC. is a pediatrics in Smyrna, 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 1699414409. 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:

3065 S COBB DR SE
SMYRNA, GA
ZIP 30080-807
Phone: (404) 296-7133

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

The CLIA number assigned to this NPI record is 11D0984625 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2022 and was last updated on 9/2/2022.


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?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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