David A Fields Md Family Care Pc | |
96 Tara Commons Dr Loganville GA 30052-8031 | |
(770) 554-0399 | |
(770) 554-0058 |
Full Name | David A Fields Md Family Care Pc |
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Speciality | Family Medicine |
Location | 96 Tara Commons Dr, Loganville, Georgia |
Authorized Official Name and Position | Kelly Gaddis (OFFICE MANAGER) |
Authorized Official Contact | 7705540399 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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David A Fields Md Family Care Pc Po Box 724928 Atlanta GA 31139-9028 Ph: (770) 554-0399 | David A Fields Md Family Care Pc 96 Tara Commons Dr Loganville GA 30052-8031 Ph: (770) 554-0399 |
NPI Number | 1114981081 |
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Provider Enumeration Date | 04/17/2006 |
Last Update Date | 02/15/2008 |
Medicare PECOS PAC ID | 7618927005 |
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Medicare Enrollment ID | O20050124000725 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114981081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 048232 (Georgia) | Primary |
Provider Name | David A Fields |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013094184 PECOS PAC ID: 6507816907 Enrollment ID: I20080107000380 |
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