| Auburn Primary Care, Pc | |
|
12 7th St Auburn GA 30011-3202 | |
| (770) 822-5555 | |
| (770) 822-6117 |
| Full Name | Auburn Primary Care, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12 7th St, 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 St Auburn GA 30011-3202 Ph: (770) 822-5555 | Auburn Primary Care, Pc 12 7th St Auburn GA 30011-3202 Ph: (770) 822-5555 |
| NPI Number | 1346488707 |
|---|---|
| Provider Enumeration Date | 01/23/2009 |
| Last Update Date | 01/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346488707 | NPI | - | NPPES |
| 000825404B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 044330 (Georgia) | Primary |
Auburn Primary Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 7th Street, Auburn, GA 30011 Phone: 770-822-5555 Fax: 770-822-6117 |