| Piedmont Medical Care Corporation | |
|
2700 Highway 34 E Bldg 300 Newnan GA 30265-1330 | |
| (770) 304-0987 | |
| (770) 304-0534 |
| Full Name | Piedmont Medical Care Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 2700 Highway 34 E, Newnan, Georgia |
| Authorized Official Name and Position | Christy F Aquino (DIRECTOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4708950214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Medical Care Corporation Po Box 102321 Atlanta GA 30368-2321 Ph: (404) 367-7690 | Piedmont Medical Care Corporation 2700 Highway 34 E Bldg 300 Newnan GA 30265-1330 Ph: (770) 304-0987 |
| NPI Number | 1033276407 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033276407 | NPI | - | NPPES |
| 000340535G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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