| Loganville Family Medicine | |
|
4589 Lawrenceville Rd Loganville GA 30052-7320 | |
| (770) 466-8672 | |
| (770) 466-2082 |
| Full Name | Loganville Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4589 Lawrenceville Rd, Loganville, Georgia |
| Authorized Official Name and Position | William A. Delp (PHYSICIAN/OWNER/OFFICER) |
| Authorized Official Contact | 7704668672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loganville Family Medicine 4589 Lawrenceville Rd Loganville GA 30052-7320 Ph: (770) 466-8672 | Loganville Family Medicine 4589 Lawrenceville Rd Loganville GA 30052-7320 Ph: (770) 466-8672 |
| NPI Number | 1104004209 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104004209 | NPI | - | NPPES |
| 235941 | Other | GA | BLUE CROSS BLUE SHEILD |
| GRP692 | Other | GA | MEDICARE GROUP |
| 406081340 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 017791 (Georgia) | Primary |
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Mobile Recovery Dolls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3925 Harrison Rd Ste 400, Loganville, GA 30052 Phone: 470-572-3199 Fax: 800-504-1362 | |
Sanjeev S Tendolkar Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4589 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 | |
Ndc Family Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Highway 81, Loganville, GA 30052 Phone: 770-554-8828 Fax: 770-554-9221 | |
Christ The King Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3531-3533 Highway 81 South, Loganville, GA 30052 Phone: 770-554-2555 | |
Med Fast Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 902 Athens Hwy, Loganville, GA 30052 Phone: 770-554-5533 Fax: 770-554-8129 |