First Look Primary Care, P.c. | |
2766 Atlanta Hwy Gainesville GA 30504-8263 | |
(770) 287-8953 | |
(770) 287-8954 |
Full Name | First Look Primary Care, P.c. |
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Speciality | Family Medicine |
Location | 2766 Atlanta Hwy, Gainesville, Georgia |
Authorized Official Name and Position | Janis N Anthony-wade (PRESIDENT) |
Authorized Official Contact | 7702878953 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Look Primary Care, P.c. Po Box 6170 Gainesville GA 30504 Ph: (770) 287-8953 | First Look Primary Care, P.c. 2766 Atlanta Hwy Gainesville GA 30504-8263 Ph: (770) 287-8953 |
NPI Number | 1912179649 |
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Provider Enumeration Date | 04/02/2008 |
Last Update Date | 11/29/2016 |
Medicare PECOS PAC ID | 6305916693 |
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Medicare Enrollment ID | O20080529000214 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912179649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 050124 (Georgia) | Primary |
Provider Name | Janis N Anthony-wade |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477587913 PECOS PAC ID: 4688678469 Enrollment ID: I20060911000056 |
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