| Basden Family Practice, Inc. | |
|
4940 Governors Dr Suite 203 Forest Park GA 30297-2186 | |
| (404) 362-0282 | |
| (404) 362-0285 |
| Full Name | Basden Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4940 Governors Dr, Forest Park, Georgia |
| Authorized Official Name and Position | Cheryl Basden (OWNER) |
| Authorized Official Contact | 4043620282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basden Family Practice, Inc. 4940 Governors Dr Suite 203 Forest Park GA 30297-2186 Ph: (404) 362-0282 | Basden Family Practice, Inc. 4940 Governors Dr Suite 203 Forest Park GA 30297-2186 Ph: (404) 362-0282 |
| NPI Number | 1245498567 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245498567 | NPI | - | NPPES |
| GRP6406 | Other | GA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 030951 (Georgia) | Primary |
South Atlanta Joint & Rehab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 541 Forest Pkwy Ste 14, Forest Park, GA 30297 Phone: 706-404-9011 | |
Emir Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4930 Governors Dr Ste 409, Forest Park, GA 30297 Phone: 404-366-3647 Fax: 404-366-3648 | |
Advance Ems Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4575 Jonesboro Rd, Forest Park, GA 30297 Phone: 404-993-3589 | |
Forest Park Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1019 Astor Ave, Forest Park, GA 30297 Phone: 404-366-9311 Fax: 404-366-1250 | |
Bonserva Acute Primary Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Governors Dr Ste 209, Forest Park, GA 30297 Phone: 404-366-8111 Fax: 404-366-8102 | |
Southern Crescent Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 Forest Pkwy, Suite 100, Forest Park, GA 30297 Phone: 678-705-0100 Fax: 678-235-1800 |