| Auburn Primary Care Pc | |
|
12 7th Street Auburn GA 30011 | |
| (770) 822-5555 | |
| (770) 822-6117 |
| Full Name | Auburn Primary Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 12 7th Street, Auburn, Georgia |
| Authorized Official Name and Position | Richard Mark Schlossberg (OWNER) |
| Authorized Official Contact | 7708225555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Primary Care Pc 12 7th Street Auburn GA 30011 Ph: (770) 822-5555 | Auburn Primary Care Pc 12 7th Street Auburn GA 30011 Ph: (770) 822-5555 |
| NPI Number | 1205056587 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205056587 | NPI | - | NPPES |
| 00825404B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 044330 (Georgia) | Primary |
Auburn Primary Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 7th St, Auburn, GA 30011 Phone: 770-822-5555 Fax: 770-822-6117 |