Canton Family Care | |
200 Medical Ln Canton GA 30114-2421 | |
(770) 479-1494 | |
(770) 720-3492 |
Full Name | Canton Family Care |
---|---|
Speciality | Family Medicine |
Location | 200 Medical Ln, Canton, Georgia |
Authorized Official Name and Position | Dorise A House (INSURANCE MANAGER) |
Authorized Official Contact | 7704791494 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Canton Family Care 200 Medical Ln Canton GA 30114-2421 Ph: (770) 479-1494 | Canton Family Care 200 Medical Ln Canton GA 30114-2421 Ph: (770) 479-1494 |
NPI Number | 1669526604 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 12/29/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669526604 | NPI | - | NPPES |
00291189A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 015374 (Georgia) | Primary |
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Donna C. Haley, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 687 Marietta Hwy, Canton, GA 30114 Phone: 770-479-8040 Fax: 770-479-7871 | |
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