Dc Family Mediical Clinic Llc | |
1404 Southlake Plaza Dr Morrow GA 30260-1756 | |
(770) 696-3960 | |
Not Available |
Full Name | Dc Family Mediical Clinic Llc |
---|---|
Speciality | Family Medicine |
Location | 1404 Southlake Plaza Dr, Morrow, Georgia |
Authorized Official Name and Position | Diana Carmichael (PRESIDENT) |
Authorized Official Contact | 7708800784 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dc Family Mediical Clinic Llc 1013 Battersea Pl Locust Grove GA 30248-2077 Ph: (770) 696-3960 | Dc Family Mediical Clinic Llc 1404 Southlake Plaza Dr Morrow GA 30260-1756 Ph: (770) 696-3960 |
NPI Number | 1114758083 |
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Provider Enumeration Date | 08/12/2024 |
Last Update Date | 08/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114758083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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