| Heritage Family Practice, Llc | |
|
1010 Pennsylvania Ave Mcdonough GA 30253-9101 | |
| (770) 288-3883 | |
| (770) 288-3885 |
| Full Name | Heritage Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1010 Pennsylvania Ave, Mcdonough, Georgia |
| Authorized Official Name and Position | Mary Teju Guest (PHYSICIAN) |
| Authorized Official Contact | 7702883883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Family Practice, Llc 1010 Pennsylvania Ave Mcdonough GA 30253-9101 Ph: (770) 288-3883 | Heritage Family Practice, Llc 1010 Pennsylvania Ave Mcdonough GA 30253-9101 Ph: (770) 288-3883 |
| NPI Number | 1912933615 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912933615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 055755 (Georgia) | Primary |
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