Phoenix Clinic And Afterhour Care | |
2795 Main St W # 21 Snellville GA 30078-3164 | |
(678) 386-2929 | |
Not Available |
Full Name | Phoenix Clinic And Afterhour Care |
---|---|
Speciality | Family Medicine |
Location | 2795 Main St W # 21, Snellville, Georgia |
Authorized Official Name and Position | Marie Lightbourne (OWNER) |
Authorized Official Contact | 6783862929 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Phoenix Clinic And Afterhour Care 5858 Silver Ridge Dr Stone Mountain GA 30087-2322 Ph: (678) 386-2929 | Phoenix Clinic And Afterhour Care 2795 Main St W # 21 Snellville GA 30078-3164 Ph: (678) 386-2929 |
NPI Number | 1720569403 |
---|---|
Provider Enumeration Date | 08/22/2018 |
Last Update Date | 08/22/2018 |
Medicare PECOS PAC ID | 8527317536 |
---|---|
Medicare Enrollment ID | O20180824001418 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720569403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 060359 (Georgia) | Primary |
Provider Name | Marie C Lightbourne |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114104767 PECOS PAC ID: 5395884928 Enrollment ID: I20091120000149 |
Horizons Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2795 Main St W, #27, Snellville, GA 30078 Phone: 770-985-8001 | |
Snellville Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Tree Ln, Ste 290a, Snellville, GA 30078 Phone: 770-979-1544 Fax: 770-979-5662 | |
Dr. B Abraham Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3020 Highway 124, Snellville, GA 30039 Phone: 770-978-1331 Fax: 770-978-8580 | |
John E. West, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2295 Henry Clower Blvd, Suite 101, Snellville, GA 30078 Phone: 770-972-4871 Fax: 770-979-3782 | |
Fine & Associates Internal Medicine Specialists, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1561 Janmar Rd Ste E, Snellville, GA 30078 Phone: 770-736-8962 Fax: 770-736-8970 | |