| Personal Touch Medical Center, Pc | |
|
65 W Campbellton St Fairburn GA 30213-1338 | |
| (770) 892-7802 | |
| Not Available |
| Full Name | Personal Touch Medical Center, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 65 W Campbellton St, Fairburn, Georgia |
| Authorized Official Name and Position | Latasha Burgess (PRESIDENT) |
| Authorized Official Contact | 7708927802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Touch Medical Center, Pc 65 W Campbellton St Fairburn GA 30213-1338 Ph: (770) 892-7802 | Personal Touch Medical Center, Pc 65 W Campbellton St Fairburn GA 30213-1338 Ph: (770) 892-7802 |
| NPI Number | 1275604308 |
|---|---|
| Provider Enumeration Date | 11/12/2006 |
| Last Update Date | 09/23/2011 |
| Medicare PECOS PAC ID | 3476562612 |
|---|---|
| Medicare Enrollment ID | O20060417000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275604308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 049877 (Georgia) | Primary |
| Provider Name | Latasha M Burgess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639240765 PECOS PAC ID: 3870502131 Enrollment ID: I20060413000518 |
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