MID AMERICA GROUP OF GEORGIA PC

DECATUR, GA
NPI1306280458
Entity TypeOrganization
Authorized ContactJEWEL BERNADETTE SMITH
Owner
317-886-6639
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2013-04-19
Last Update Date2014-03-19
Business Address
MID AMERICA GROUP OF GEORGIA PC
160 CLAIREMONT AVE STE 200
DECATUR, GA 30030-2546
Phone number: 317-886-6637
Mailing Address
MID AMERICA GROUP OF GEORGIA PC
1499 WINDHORST WAY STE 100
GREENWOOD, IN 46143-8800
Phone number: 317-886-6639