| Powder Springs Medical Clinic, Inc. | |
|
4045-b Lindley Cir Powder Soprings GA 30127 | |
| (770) 943-1636 | |
| (770) 943-7941 |
| Full Name | Powder Springs Medical Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4045-b Lindley Cir, Powder Soprings, Georgia |
| Authorized Official Name and Position | Bobby Wayne Hill (PRESIDENT) |
| Authorized Official Contact | 7709431636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powder Springs Medical Clinic, Inc. 4045b Lindley Cir Powder Springs GA 30127-2711 Ph: (770) 943-1636 | Powder Springs Medical Clinic, Inc. 4045-b Lindley Cir Powder Soprings GA 30127 Ph: (770) 943-1636 |
| NPI Number | 1134334832 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 02/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134334832 | NPI | - | NPPES |
| 0100673 | Other | GA | UNITED HEALTHCARE |
| 10041190 | Other | GA | AMERIGROUP |
| 4569669 | Other | GA | AETNA |
| P00256198 | Other | GA | RAILROAD MEDICARE |
| 3661647 | Other | GA | CIGNA |
| 52143080 | Other | GA | BCBS |
| 314139 | Other | GA | WELLCARE |
| GRP3770 | Other | GA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 019698 (Georgia) | Primary |