OrganizationActive
South Atlanta Primary Care PC
NPI 1710183454 · Legal Medicine · Jonesboro, GA
Provider details
- NPI number
- 1710183454
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Michael Dicristina, Physician Owner(770) 968-7933
- License
- 022223 (GA)
Specialties & taxonomies
Other Service Providers
Practice location
6568a Tara Blvd
Jonesboro, GA 30236-1228
Phone: (770) 968-7933
Fax: (770) 968-6521
Approximate (ZIP-level) locationGet directions
Mailing address
6568a Tara Blvd
Jonesboro, GA 30236-1228
Registry dates
- Enumerated
- 2007-06-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.