| Life Care Family Practice | |
|
8464 Adair St Douglasville GA 30134-1839 | |
| (770) 949-9804 | |
| (770) 949-9842 |
| Full Name | Life Care Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 8464 Adair St, Douglasville, Georgia |
| Authorized Official Name and Position | Michael Moody (DOCTOR/OWNER) |
| Authorized Official Contact | 7709499804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Care Family Practice 8464 Adair St Douglasville GA 30134-1839 Ph: (770) 949-9804 | Life Care Family Practice 8464 Adair St Douglasville GA 30134-1839 Ph: (770) 949-9804 |
| NPI Number | 1386921310 |
|---|---|
| Provider Enumeration Date | 11/04/2011 |
| Last Update Date | 05/08/2024 |
| Medicare PECOS PAC ID | 0042484982 |
|---|---|
| Medicare Enrollment ID | O20111110000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386921310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Shannon Moody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952466583 PECOS PAC ID: 5597939439 Enrollment ID: I20111111000090 |
Michelle A. Huggins, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6934 Broad St, Douglasville, GA 30134 Phone: 770-702-7728 Fax: 770-726-7265 | |
City Of Douglasville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6697 Church St, Douglasville, GA 30134 Phone: 336-515-1313 Fax: 336-804-5903 | |
Mariam George, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3872 Highway 5, Douglasville, GA 30135 Phone: 770-949-5535 Fax: 770-949-9022 | |
Douglas County Family Practice, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3872 Highway 5, Douglasville, GA 30135 Phone: 770-949-5535 Fax: 770-949-9022 | |
Bwell Medical And Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5933 Stewart Pkwy, Douglasville, GA 30135 Phone: 470-331-9468 Fax: 770-234-5717 | |
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 | |
Benchmark Of Ga Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Chapel Hill Rd Ste 1200, Douglasville, GA 30135 Phone: 678-981-6290 Fax: 678-981-6291 |