| Greater Atlanta Family Healthcare Llc | |
|
3700 Market St Ste C Clarkston GA 30021-2652 | |
| (404) 298-9333 | |
| (404) 298-9931 |
| Full Name | Greater Atlanta Family Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3700 Market St, Clarkston, Georgia |
| Authorized Official Name and Position | Dorothy A.o. White-williams (DOCTOR) |
| Authorized Official Contact | 4042989333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Atlanta Family Healthcare Llc 3700 Market St Ste C Clarkston GA 30021-2652 Ph: (404) 298-9333 | Greater Atlanta Family Healthcare Llc 3700 Market St Ste C Clarkston GA 30021-2652 Ph: (404) 298-9333 |
| NPI Number | 1215932751 |
|---|---|
| Provider Enumeration Date | 06/20/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8729141403 |
|---|---|
| Medicare Enrollment ID | O20090106000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215932751 | NPI | - | NPPES |
| 00910093A | Medicaid | GA | |
| 046281 | Other | GA | STATE OF GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 046281 (Georgia) | Primary |
| Provider Name | Joyce R Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043214737 PECOS PAC ID: 0244293348 Enrollment ID: I20041110000037 |
| Provider Name | Dorothy Akosua Ofeibea White-williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598897530 PECOS PAC ID: 7416010103 Enrollment ID: I20101122000044 |
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