| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 11/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275002636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 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 | |
Hospital In Your Home Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3755 Main St Unit 101, College Park, GA 30337 Phone: 844-690-4494 Fax: 877-716-7831 | |
Aica Orthopedics, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1624 Virginia Ave, College Park, GA 30337 Phone: 404-781-2225 Fax: 404-781-2226 | |
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 | |
College Park Regional Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 John Wesley Ave, College Park, GA 30337 Phone: 770-520-7201 |