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6934 Broad St Douglasville GA 30134-1604 | |
(770) 702-7728 | |
(770) 726-7265 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 6934 Broad St, Douglasville, Georgia |
Authorized Official Name and Position | Michelle Allison Huggins (PRESIDENT/OWNER) |
Authorized Official Contact | 7707027728 |
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 | 1013391317 |
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Provider Enumeration Date | 07/16/2015 |
Last Update Date | 11/17/2016 |
Identifier | Type | State | Issuer |
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1013391317 | NPI | - | NPPES |
000512784 | Medicaid | GA | |
000512784D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 034368 (Georgia) | Primary |
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 | |