OrganizationActive
Supreme Healthcare Ob/Gyn LLC
NPI 1639552649 · Specialist · Decatur, GA
Supreme Healthcare Ob/Gyn LLC is a Specialist organization in Decatur, GA (NPI 1639552649).
Provider details
- NPI number
- 1639552649
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kimar Dunn, Assistant Practice Manager(678) 518-9691
- License
- 57621 (GA)
Practice location
5536 Flat Shoals Pkwy
Suite a
Decatur, GA 30034-5408
Phone: (678) 518-9691
Fax: (678) 518-9692
Street-level locationGet directions
Mailing address
5536 Flat Shoals Pkwy
Decatur, GA 30034-5408
Registry dates
- Enumerated
- 2015-07-08
- Last updated
- 2015-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.