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1007 S William St Atlanta TX 75551-3245 | |
(903) 614-4200 | |
(903) 614-4244 |
Full Name | |
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Speciality | General Practice |
Location | 1007 S William St, Atlanta, Texas |
Authorized Official Name and Position | Jason Matthew Adams (PRESIDENT) |
Authorized Official Contact | 9036141000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3070 Texarkana TX 75504-3070 Ph: (903) 614-2943 | 1007 S William St Atlanta TX 75551-3245 Ph: (903) 614-4200 |
NPI Number | 1871916650 |
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Provider Enumeration Date | 01/29/2014 |
Last Update Date | 10/05/2023 |
Identifier | Type | State | Issuer |
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1871916650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Atlanta Family Practice Clinic Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 W Main St, Atlanta, TX 75551 Phone: 903-796-4133 Fax: 903-796-5001 |