PONCE PRIMARY CARE LLC
Ambulatory Health at Ponce De Leon Ave, Decatur, GA

License number
Georgia 054263
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. CHAD DONALD COSTLEY M.D.
Title: OWNER
Phone: (404) 537-2521
Address
Address
402 W Ponce De Leon Ave, Decatur, GA 30030
National Provider ID: 1477865681
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PONCE PRIMARY CARE LLC at bizstanding.com

PONCE PRIMARY CARE, LLC

402 W Ponce De Leon Ave, Decatur, GA 30030

Industry:
Medical Doctor's Office, Internist
Doing business as:
Ponce Primary Care<br>Ponce Primary Care - Chad D Costley MD
Registration:
Aug 26, 2008
Site:
www.ponceprimarycare.com
Phone:
(404) 537-2521 (Phone)
Description:
Primary care medicine for adult and teenage patients.
State ID:
08066552
Business type:
Domestic Limited Liability Company
Internal Medicine, Medical Doctors:
Chad D. Costley (Family Practitioner, Medical Doctor, Owner, President, Principal),Kara Nicole Brown (Nurse Practitioner),Larry Graydon Ray Internal Medicine, Medical Doctor, inactive
Agent:
Chad Donald Costley,402 W Ponce De Leon Ave, Decatur, GA (Physical)
Licensed:
Yes
Senior discount:
No
Categories:
Family & General Practice Physicians & Surgeons
Open Hours:
By Appointment

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