| Cpc-gateway | |
|
4039 Gateway Blvd Grovetown GA 30813-3195 | |
| (706) 922-1600 | |
| Not Available |
| Full Name | Cpc-gateway |
|---|---|
| Speciality | Family Medicine |
| Location | 4039 Gateway Blvd, Grovetown, Georgia |
| Authorized Official Name and Position | Michael Friedman (MD) |
| Authorized Official Contact | 7069221600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpc-gateway Po Box 1967 Evans GA 30809-1967 Ph: () - | Cpc-gateway 4039 Gateway Blvd Grovetown GA 30813-3195 Ph: (706) 922-1600 |
| NPI Number | 1689014763 |
|---|---|
| Provider Enumeration Date | 07/03/2013 |
| Last Update Date | 07/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689014763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Timothy W Mckenzie Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5182 Wrightsboro Rd, Grovetown, GA 30813 Phone: 706-854-1235 | |
Umg Prompt Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 925 Branch Ct Ste 101, Grovetown, GA 30813 Phone: 706-396-1199 Fax: 706-396-7452 |