| Clinica Medica Familiar | |
|
189 Medical Way Suite B Riverdale GA 30274-4905 | |
| (770) 996-9681 | |
| (770) 996-9683 |
| Full Name | Clinica Medica Familiar |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 189 Medical Way, Riverdale, Georgia |
| Authorized Official Name and Position | Jack Dourron (PRACTICE MANAGER) |
| Authorized Official Contact | 7709969681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Familiar 189 Medical Way Suite B Riverdale GA 30274-4905 Ph: (770) 996-9681 | Clinica Medica Familiar 189 Medical Way Suite B Riverdale GA 30274-4905 Ph: (770) 996-9681 |
| NPI Number | 1639319254 |
|---|---|
| Provider Enumeration Date | 02/22/2009 |
| Last Update Date | 02/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639319254 | NPI | - | NPPES |
| 000348675A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 027722 (Georgia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 014308 (Georgia) | Primary |
James E. Gleason Jr, Mdpc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 Upper Riverdale Rd Sw Ste 118, Riverdale, GA 30274 Phone: 770-994-6969 Fax: 888-651-5324 | |
Lotus Family Wellness Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1240 Highway 138 Sw, Riverdale, GA 30296 Phone: 404-668-1827 | |
Estate Clinics By Cmg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-997-2160 | |
Regenerative Joint Pt Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 483 Upper Riverdale Rd Sw Ste F, Riverdale, GA 30274 Phone: 470-895-0610 | |
Okeh Health Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Upper Riverdale Rd Sw, 17, Riverdale, GA 30274 Phone: 770-897-7043 Fax: 770-996-3529 | |
Razom Lab Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7803 Bar Harbor Dr, Riverdale, GA 30296 Phone: 404-429-5597 | |
Sound Physicians Of Georgia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8000 |