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NPI Code Detail

MEDICARE: MUSE MEDICAL CLINIC

MEDICARE: MUSE MEDICAL CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician039995GA

General Provider Information

NPI Number : 1851604862
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUSE MEDICAL CLINIC
Provider Business Mailing Address
First Line : 3300 MEMORIAL DR
Second Line : SUITE C-1
City : DECATUR
State : GA
Zip : 30032-2700
Country : US
Telephone Number : 678-732-9087
Fax Number : 678-732-9088
Provider Business Practice Location Address
First Line : 3300 MEMORIAL DR
Second Line : SUITE C-1
City : DECATUR
State : GA
Zip : 30032-2700
Country : US
Telephone Number : 678-732-9087
Fax Number : 678-732-9088
Authorized Official
Title or Position : DIRECTOR
Name : DR. JESSIE M AL-AMIN
Credential : M.D.
Telephone Number : 404-345-8883
Provider Enumeration Date : 07/19/2010
Last Update Date : 12/16/2013

Similar Medicare Providers

1093998346 — JESSIE LOUISE MUSE MD
Practice Location Address:
3300 MEMORIAL DR , SUITE C1
DECATUR, GA
30032-2700
Practice Phone: 678-732-9087
Practice Fax: 678-732-9088
1700975414 — HERITAGE MEDICAL INC
Practice Location Address:
3300 MEMORIAL DR , STE D4
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30032-2700
Practice Phone: 404-289-2500
Practice Fax:
1033244124 — DR. CASSANDRA GRIFFITH BRACKETT D.D.S
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3300 MEMORIAL DR , SUITE D-3
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30032-2700
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Practice Fax: 404-288-6080
1760641005 — TONJA RENEE EDMOND SLP-CCC
Practice Location Address:
3300 MEMORIAL DR STE D4D5
DECATUR, GA
30032-2700
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Practice Fax:
1669635314 — PATRICA ANN SPRATLEY SLP
Practice Location Address:
3300 MEMORIAL DR
DECATUR, GA
30032-2700
Practice Phone: 678-665-9667
Practice Fax:
1942535091 — CASSANDRA G. BRACKETT, D.D.S.,P.C.
Practice Location Address:
3300 MEMORIAL DR , SUITE D-3
DECATUR, GA
30032-2700
Practice Phone: 404-289-3060
Practice Fax: 404-288-6080

Directions to “MUSE MEDICAL CLINIC ” Practice Location

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