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3155 Royal Dr Ste 125 Alpharetta GA 30022-2477 | |
| (770) 520-7241 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 3155 Royal Dr Ste 125, Alpharetta, Georgia |
| Authorized Official Name and Position | Lynn Paxton (DISTRICT HEALTH DIRECTOR) |
| Authorized Official Contact | 7705207489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10 Park Place South Se Fl 4 Atlanta GA 30303-2913 Ph: (770) 520-7500 | 3155 Royal Dr Ste 125 Alpharetta GA 30022-2477 Ph: (770) 520-7241 |
| NPI Number | 1336665280 |
|---|---|
| Provider Enumeration Date | 08/22/2017 |
| Last Update Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336665280 | NPI | - | NPPES |
| 000457773Q | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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