Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Atlanta Primary Care PC

Organization Legal Medicine · NPI 1710183454

South Atlanta Primary Care PC provides Legal Medicine in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6568A Tara Blvd
Jonesboro, GA 30236-1228
Phone: (770) 968-7933
Fax: (770) 968-6521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X · Licence 022223 (GA)

Record details

NPI number1710183454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Dicristina — Physician Owner · (770) 968-7933
NPI enumeratedJune 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6568a Tara Blvd, Jonesboro, GA 30236-1228

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