Family First Primary Care, Llc | |
426 S Wall St Calhoun GA 30701-2432 | |
(205) 712-5110 | |
Not Available |
Full Name | Family First Primary Care, Llc |
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Speciality | Clinic/Center |
Location | 426 S Wall St, Calhoun, Georgia |
Authorized Official Name and Position | Lydia Godsey (MANAGING PARTNER) |
Authorized Official Contact | 2057125110 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family First Primary Care, Llc Po Box 1174 Calhoun GA 30703-1174 Ph: (205) 712-5110 | Family First Primary Care, Llc 426 S Wall St Calhoun GA 30701-2432 Ph: (205) 712-5110 |
NPI Number | 1578331914 |
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Provider Enumeration Date | 12/14/2023 |
Last Update Date | 09/12/2024 |
Medicare PECOS PAC ID | 0941649529 |
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Medicare Enrollment ID | O20240416000438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578331914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Tara A Sane |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417204132 PECOS PAC ID: 8022267061 Enrollment ID: I20121005000537 |
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