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1025 Veterans Memorial Mableton GA 30126 | |
(678) 819-7860 | |
(678) 819-7900 |
Full Name | |
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Speciality | Clinic/center - Health Service |
Location | 1025 Veterans Memorial, Mableton, Georgia |
Authorized Official Name and Position | William Tom Fogarty (PRESIDENT) |
Authorized Official Contact | 9723648000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5080 Spectrum Drive Suite 1200 West Addison TX 75001 Ph: () - | 1025 Veterans Memorial Mableton GA 30126 Ph: (678) 819-7860 |
NPI Number | 1649551979 |
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Provider Enumeration Date | 08/31/2011 |
Last Update Date | 08/31/2011 |
Identifier | Type | State | Issuer |
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1649551979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
Golden Geriatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 632 Vinings Estates Dr Se, Mableton, GA 30126 Phone: 914-391-2873 | |
Gp Wellness Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4855 Floyd Rd Sw, Suite 104, Mableton, GA 30126 Phone: 770-485-3458 Fax: 770-575-1050 |