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6934 Broad St Douglasville GA 30134-1604 | |
(770) 702-7728 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 6934 Broad St, Douglasville, Georgia |
Authorized Official Name and Position | Michelle A Huggins (PHYSICIAN) |
Authorized Official Contact | 6786821131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6934 Broad St Douglasville GA 30134-1604 Ph: (770) 702-7728 | 6934 Broad St Douglasville GA 30134-1604 Ph: (770) 702-7728 |
NPI Number | 1629510011 |
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Provider Enumeration Date | 11/16/2016 |
Last Update Date | 11/16/2016 |
Identifier | Type | State | Issuer |
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1629510011 | NPI | - | NPPES |
000512784D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 34368 (Georgia) | Primary |
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Atlanta West Gastroenterology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6084 Professional Parkway, Suite #c, Douglasville, GA 30134 Phone: 770-949-6548 Fax: 770-949-9561 | |