| Primecare Medical Center | |
|
86 Upper Riverdale Rd Sw Ste 201 Riverdale GA 30274-2614 | |
| (770) 907-4219 | |
| Not Available |
| Full Name | Primecare Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 86 Upper Riverdale Rd Sw Ste 201, Riverdale, Georgia |
| Authorized Official Name and Position | Bridgette Hannigan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6787555334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Medical Center 86 Upper Riverdale Rd Sw Ste 201 Riverdale GA 30274-2614 Ph: (770) 907-4219 | Primecare Medical Center 86 Upper Riverdale Rd Sw Ste 201 Riverdale GA 30274-2614 Ph: (770) 907-4219 |
| NPI Number | 1164940672 |
|---|---|
| Provider Enumeration Date | 09/05/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164940672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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