| Mohawk Hlc Miles Dvd Family Practice | |
|
1149 Duvall Rd Chatsworth GA 30705-3202 | |
| (706) 422-6104 | |
| (706) 422-8309 |
| Full Name | Mohawk Hlc Miles Dvd Family Practice |
|---|---|
| Speciality | Clinic/center |
| Location | 1149 Duvall Rd, Chatsworth, Georgia |
| Authorized Official Name and Position | Deborah Sue Coolidge (FINANCIAL ANALYSIS SENIOR MANAGER) |
| Authorized Official Contact | 6232771170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohawk Hlc Miles Dvd Family Practice 8888 E Raintree Dr Scottsdale AZ 85260-3951 Ph: () - | Mohawk Hlc Miles Dvd Family Practice 1149 Duvall Rd Chatsworth GA 30705-3202 Ph: (706) 422-6104 |
| NPI Number | 1871298117 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 04/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871298117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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