| Magnolia Family Medicine | |
|
1111 Hwy 76 Chatsworth GA 30705 | |
| (706) 695-5500 | |
| (706) 695-5512 |
| Full Name | Magnolia Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Hwy 76, Chatsworth, Georgia |
| Authorized Official Name and Position | Yara L Fattouh (M.D.) |
| Authorized Official Contact | 7066955500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Medicine P.o. Box 1383 Chatsworth GA 30705 Ph: (706) 695-5500 | Magnolia Family Medicine 1111 Hwy 76 Chatsworth GA 30705 Ph: (706) 695-5500 |
| NPI Number | 1174758023 |
|---|---|
| Provider Enumeration Date | 05/21/2009 |
| Last Update Date | 06/06/2012 |
| Medicare PECOS PAC ID | 4284770249 |
|---|---|
| Medicare Enrollment ID | O20091005000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174758023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 053522 (Georgia) | Primary |
| Provider Name | Yara Fattouh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518953785 PECOS PAC ID: 5193861250 Enrollment ID: I20091005000324 |
Sutter Family Practice, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 W Market St, Chatsworth, GA 30705 Phone: 706-695-0466 Fax: 706-695-0741 | |
Corner Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 N 3rd Ave, Chatsworth, GA 30705 Phone: 706-695-0446 Fax: 706-517-5157 | |
Georgia Mountains Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 N 3rd Ave, Chatsworth, GA 30705 Phone: 706-517-2273 Fax: 706-517-2469 | |
Murray Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Hospital Dr, Chatsworth, GA 30705 Phone: 706-695-1488 Fax: 706-422-9586 | |
Robert T. Cook Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Drive, Chatsworth, GA 30705 Phone: 706-695-4546 Fax: 706-695-0231 | |
Personal Family Care, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Hospital Dr, Suite 5, Chatsworth, GA 30705 Phone: 706-517-0533 Fax: 706-517-3032 |