| |
3615 Charles Hardy Pkwy # 200 Dallas GA 30157-9472 | |
(678) 941-6247 | |
(678) 293-9610 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3615 Charles Hardy Pkwy # 200, Dallas, Georgia |
Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
Authorized Official Contact | 4074477120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (407) 447-7120 | 3615 Charles Hardy Pkwy # 200 Dallas GA 30157-9472 Ph: (678) 941-6247 |
NPI Number | 1366269367 |
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Provider Enumeration Date | 09/23/2024 |
Last Update Date | 12/17/2024 |
Identifier | Type | State | Issuer |
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1366269367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
Gregory L. Wehunt, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Merchants Sq Ste C, Dallas, GA 30132 Phone: 770-443-3335 Fax: 770-443-3394 | |
Cobbwest Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2713 Charles Hardy Pkwy, Ste 223, Dallas, GA 30157 Phone: 678-324-7021 | |
Primary Care Plus, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51 Seven Hills Blvd, Suite 102, Dallas, GA 30132 Phone: 678-574-3000 | |