| Camp Creek Primary Care, Pc | |
|
3890 Redwine Rd Sw Suite 100 Atlanta GA 30331-5509 | |
| (404) 349-2273 | |
| (404) 349-1511 |
| Full Name | Camp Creek Primary Care, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3890 Redwine Rd Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Lisa B. Green-clopton (CFO/ BUSINESS MANAGER) |
| Authorized Official Contact | 4043492273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camp Creek Primary Care, Pc Po Box 90237 East Point GA 30364-0237 Ph: (404) 349-2273 | Camp Creek Primary Care, Pc 3890 Redwine Rd Sw Suite 100 Atlanta GA 30331-5509 Ph: (404) 349-2273 |
| NPI Number | 1861503906 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861503906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 043019 (Georgia) | Primary |
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