| Alliance Family Care Llc | |
|
1775 Access Rd Suite C Covington GA 30014-1987 | |
| (770) 255-0123 | |
| (770) 255-0125 |
| Full Name | Alliance Family Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1775 Access Rd, Covington, Georgia |
| Authorized Official Name and Position | Muhammad Abbasi (CEO) |
| Authorized Official Contact | 7702550123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Family Care Llc 1775 Access Rd Suite C Covington GA 30014-1987 Ph: (770) 255-0123 | Alliance Family Care Llc 1775 Access Rd Suite C Covington GA 30014-1987 Ph: (770) 255-0123 |
| NPI Number | 1548205107 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 08/20/2012 |
| Medicare PECOS PAC ID | 8426959537 |
|---|---|
| Medicare Enrollment ID | O20040120000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548205107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 043834 (Georgia) | Primary |
| Provider Name | Muhammad A Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962496893 PECOS PAC ID: 2567363674 Enrollment ID: I20040121000363 |
| Provider Name | Amanda Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639578305 PECOS PAC ID: 4688896558 Enrollment ID: I20141107001693 |
| Provider Name | Lisa R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730679051 PECOS PAC ID: 3375876535 Enrollment ID: I20190604001100 |
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