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1025 Veterans Memorial Hwy Suite 720 Mableton GA 30126-7239 | |
(770) 732-0720 | |
(770) 732-0730 |
Full Name | |
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Speciality | Family Medicine |
Location | 1025 Veterans Memorial Hwy, Mableton, Georgia |
Authorized Official Name and Position | Andrea Malik-roe (CFO) |
Authorized Official Contact | 6785046392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1275 Highway 54 W Ste 201 Fayetteville GA 30214-4538 Ph: (678) 688-9685 | 1025 Veterans Memorial Hwy Suite 720 Mableton GA 30126-7239 Ph: (770) 732-0720 |
NPI Number | 1023504180 |
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Provider Enumeration Date | 07/02/2018 |
Last Update Date | 07/02/2018 |
Identifier | Type | State | Issuer |
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1023504180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | OCC010814 (Georgia) | Primary |
Golden Geriatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 632 Vinings Estates Dr Se, Mableton, GA 30126 Phone: 914-391-2873 | |
Gp Wellness Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4855 Floyd Rd Sw, Suite 104, Mableton, GA 30126 Phone: 770-485-3458 Fax: 770-575-1050 |