Atlanta West Primary Care Associates Pc | |
939 Thornton Road Lithia Springs GA 30122-2634 | |
(770) 948-5400 | |
(770) 948-4930 |
Full Name | Atlanta West Primary Care Associates Pc |
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Speciality | Family Medicine |
Location | 939 Thornton Road, Lithia Springs, Georgia |
Authorized Official Name and Position | Millard James Collier (MEDICAL DIRECTOR) |
Authorized Official Contact | 7709485400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atlanta West Primary Care Associates Pc 939 Thornton Rd Lithia Springs GA 30122-2634 Ph: (770) 948-5400 | Atlanta West Primary Care Associates Pc 939 Thornton Road Lithia Springs GA 30122-2634 Ph: (770) 948-5400 |
NPI Number | 1053689273 |
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Provider Enumeration Date | 12/02/2011 |
Last Update Date | 01/17/2014 |
Medicare PECOS PAC ID | 5597993501 |
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Medicare Enrollment ID | O20140122000012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053689273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 28114 (Georgia) | Primary |
Provider Name | Millard J Collier Jr |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306860044 PECOS PAC ID: 7315130606 Enrollment ID: I20101019001021 |
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