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3327 Highway 5 Douglasville GA 30135-6844 | |
(770) 577-7030 | |
(770) 577-6844 |
Full Name | |
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Speciality | Obstetrics & Gynecology - Gynecology |
Location | 3327 Highway 5, Douglasville, Georgia |
Authorized Official Name and Position | Teresa L Frank (OFFICE MANAGER) |
Authorized Official Contact | 7705777030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3327 Highway 5 Douglasville GA 30135-2307 Ph: (770) 577-7030 | 3327 Highway 5 Douglasville GA 30135-6844 Ph: (770) 577-7030 |
NPI Number | 1922171081 |
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Provider Enumeration Date | 11/16/2006 |
Last Update Date | 09/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922171081 | NPI | - | NPPES |
00065029A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 015528 (Georgia) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 014251 (Georgia) | Primary |
Douglas County Family Practice, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3872 Highway 5, Douglasville, GA 30135 Phone: 770-949-5535 Fax: 770-949-9022 | |
Bwell Medical And Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5933 Stewart Pkwy, Douglasville, GA 30135 Phone: 470-331-9468 Fax: 770-234-5717 | |
Atlanta West Gastroenterology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6084 Professional Parkway, Suite #c, Douglasville, GA 30134 Phone: 770-949-6548 Fax: 770-949-9561 | |