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5505 Bells Ferry Rd Suite 240 Acworth GA 30102-7528 | |
(678) 214-0100 | |
(678) 214-0124 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 5505 Bells Ferry Rd, Acworth, Georgia |
Authorized Official Name and Position | Thomas Hourin (PRESIDENT) |
Authorized Official Contact | 7703102204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5505 Bells Ferry Rd Suite 240 Acworth GA 30102-7528 Ph: (678) 214-0100 | 5505 Bells Ferry Rd Suite 240 Acworth GA 30102-7528 Ph: (678) 214-0100 |
NPI Number | 1275722654 |
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Provider Enumeration Date | 10/22/2007 |
Last Update Date | 02/14/2012 |
Identifier | Type | State | Issuer |
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1275722654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | CHIR008064 (Georgia) | Primary |
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