Family Medical Center (holding) P.c. | |
5615 Old National Hwy College Park GA 30349-3811 | |
(770) 997-2900 | |
Not Available |
Full Name | Family Medical Center (holding) P.c. |
---|---|
Speciality | Internal Medicine - Adolescent Medicine |
Location | 5615 Old National Hwy, College Park, Georgia |
Authorized Official Name and Position | Sallu Jabati (CEO) |
Authorized Official Contact | 6785594526 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Medical Center (holding) P.c. 5615 Old National Hwy College Park GA 30349-3811 Ph: (770) 997-2900 | Family Medical Center (holding) P.c. 5615 Old National Hwy College Park GA 30349-3811 Ph: (770) 997-2900 |
NPI Number | 1053797183 |
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Provider Enumeration Date | 07/30/2015 |
Last Update Date | 07/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053797183 | NPI | - | NPPES |
712681970B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RA0000X | Internal Medicine - Adolescent Medicine | 058527 (Georgia) | Primary |
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Family Medical Center P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5615 Old National Hwy Ste D, College Park, GA 30349 Phone: 770-997-2900 Fax: 404-767-7053 | |
Healing Mind And Body Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Godby Rd Ste B200, College Park, GA 30349 Phone: 678-764-8919 | |
Patriot Healthcare Of Georgia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 Phone: 404-435-6029 | |
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