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1920 John Wesley Ave College Park GA 30337-3606 | |
(770) 520-7201 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 1920 John Wesley Ave, College Park, Georgia |
Authorized Official Name and Position | Lynn Paxton (DISTRICT HEALTH DIRECTOR) |
Authorized Official Contact | 7705207489 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10 Park Place South Se Fl 4 Atlanta GA 30303-2913 Ph: (770) 520-7500 | 1920 John Wesley Ave College Park GA 30337-3606 Ph: (770) 520-7201 |
NPI Number | 1285151712 |
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Provider Enumeration Date | 08/25/2017 |
Last Update Date | 09/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285151712 | NPI | - | NPPES |
000457773G | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Family Medical Center (holding) P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5615 Old National Hwy, College Park, GA 30349 Phone: 770-997-2900 | |
Family Medical Center P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5615 Old National Hwy Ste D, College Park, GA 30349 Phone: 770-997-2900 Fax: 404-767-7053 | |
Healing Mind And Body Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Godby Rd Ste B200, College Park, GA 30349 Phone: 678-764-8919 | |
Patriot Healthcare Of Georgia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 Phone: 404-435-6029 |