| Legacy Primary Care And Wellness Llc | |
|
195 Upper Riverdale Rd Sw Ste B Riverdale GA 30274-2518 | |
| (770) 703-8465 | |
| (770) 629-2392 |
| Full Name | Legacy Primary Care And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 195 Upper Riverdale Rd Sw Ste B, Riverdale, Georgia |
| Authorized Official Name and Position | Betty Elizabeth Strong (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7707038465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Primary Care And Wellness Llc 195 Upper Riverdale Rd Sw Ste B Riverdale GA 30274-2518 Ph: (770) 703-8465 | Legacy Primary Care And Wellness Llc 195 Upper Riverdale Rd Sw Ste B Riverdale GA 30274-2518 Ph: (770) 703-8465 |
| NPI Number | 1508461070 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 08/12/2021 |
| Medicare PECOS PAC ID | 6507264405 |
|---|---|
| Medicare Enrollment ID | O20211007000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508461070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Betty E Strong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093728404 PECOS PAC ID: 2961430517 Enrollment ID: I20050803001018 |
James E. Gleason Jr, Mdpc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 Upper Riverdale Rd Sw Ste 118, Riverdale, GA 30274 Phone: 770-994-6969 Fax: 888-651-5324 | |
Lotus Family Wellness Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1240 Highway 138 Sw, Riverdale, GA 30296 Phone: 404-668-1827 | |
Estate Clinics By Cmg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-997-2160 | |
Regenerative Joint Pt Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 483 Upper Riverdale Rd Sw Ste F, Riverdale, GA 30274 Phone: 470-895-0610 | |
Okeh Health Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Upper Riverdale Rd Sw, 17, Riverdale, GA 30274 Phone: 770-897-7043 Fax: 770-996-3529 | |
Razom Lab Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7803 Bar Harbor Dr, Riverdale, GA 30296 Phone: 404-429-5597 | |
Sound Physicians Of Georgia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8000 |