| Familycare Medical, Llc | |
|
6685 Merchants Way Suite B Morrow GA 30260-2342 | |
| (770) 968-1997 | |
| (770) 968-1918 |
| Full Name | Familycare Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6685 Merchants Way, Morrow, Georgia |
| Authorized Official Name and Position | Victoria H. Thedford (OWNER) |
| Authorized Official Contact | 7709681997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familycare Medical, Llc Po Box 783 Rex GA 30273-0783 Ph: (770) 968-1997 | Familycare Medical, Llc 6685 Merchants Way Suite B Morrow GA 30260-2342 Ph: (770) 968-1997 |
| NPI Number | 1215171459 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 04/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215171459 | NPI | - | NPPES |
| 187347049E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 054039 (Georgia) | Primary |
| 207R00000X | Internal Medicine | 054039 (Georgia) | Secondary |
| 208000000X | Pediatrics | 054039 (Georgia) | Secondary |
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