Patriot Healthcare Of Georgia, Llc | |
1587 Phoenix Boulevard Suite 6 College Park GA 30349 | |
(404) 435-6029 | |
Not Available |
Full Name | Patriot Healthcare Of Georgia, Llc |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 1587 Phoenix Boulevard, College Park, Georgia |
Authorized Official Name and Position | David A. Culver (ADMINISTRATOR) |
Authorized Official Contact | 9048254368 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Patriot Healthcare Of Georgia, Llc 100 Arricola Avenue St. Augustine FL 32080 Ph: (904) 825-4368 | Patriot Healthcare Of Georgia, Llc 1587 Phoenix Boulevard Suite 6 College Park GA 30349 Ph: (404) 435-6029 |
NPI Number | 1275002636 |
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Provider Enumeration Date | 11/15/2018 |
Last Update Date | 11/15/2018 |
Identifier | Type | State | Issuer |
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1275002636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Family Medical Center (holding) P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5615 Old National Hwy, College Park, GA 30349 Phone: 770-997-2900 | |
Family Medical Center P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5615 Old National Hwy Ste D, College Park, GA 30349 Phone: 770-997-2900 Fax: 404-767-7053 | |
Healing Mind And Body Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Godby Rd Ste B200, College Park, GA 30349 Phone: 678-764-8919 | |