Family Care Of Hillandale, P.c. | |
5910 Hillandale Dr Suite 204 Lithonia GA 30058-1884 | |
(770) 981-2443 | |
(770) 981-2478 |
Full Name | Family Care Of Hillandale, P.c. |
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Speciality | Family Medicine |
Location | 5910 Hillandale Dr, Lithonia, Georgia |
Authorized Official Name and Position | Arlene A Lewis (MEDICAL DIRECTOR) |
Authorized Official Contact | 7709812443 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Care Of Hillandale, P.c. 5910 Hillandale Dr Suite 204 Lithonia GA 30058-1884 Ph: (770) 981-2443 | Family Care Of Hillandale, P.c. 5910 Hillandale Dr Suite 204 Lithonia GA 30058-1884 Ph: (770) 981-2443 |
NPI Number | 1043316391 |
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Provider Enumeration Date | 09/15/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6709124878 |
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Medicare Enrollment ID | O20190214002822 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043316391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 043236 (Georgia) | Primary |
Provider Name | Arlene Annetta Lewis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245241975 PECOS PAC ID: 7911270764 Enrollment ID: I20190214002751 |
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