| Georgia Volunteer Health Care Program | |
|
6744 Brookfield Way Douglasville GA 30134-1461 | |
| (770) 837-5656 | |
| Not Available |
| Full Name | Georgia Volunteer Health Care Program |
|---|---|
| Speciality | Clinic/center |
| Location | 6744 Brookfield Way, Douglasville, Georgia |
| Authorized Official Name and Position | Princess B. Clark (FNP) |
| Authorized Official Contact | 7708375656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Volunteer Health Care Program 6744 Brookfield Way Douglasville GA 30134-1461 Ph: () - | Georgia Volunteer Health Care Program 6744 Brookfield Way Douglasville GA 30134-1461 Ph: (770) 837-5656 |
| NPI Number | 1710437579 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710437579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | RN128145 (Georgia) | Primary |
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