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 is a 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
Show map & directions

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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