Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 3361 Grant Rd, Conley, Georgia |
Authorized Official Name and Position | Jan Hopkins (ASSOC. OPERATIONS MANAGER) |
Authorized Official Contact | 8645010751 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | 3361 Grant Rd Conley GA 30288-2133 Ph: (678) 244-7933 |
NPI Number | 1265035877 |
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Provider Enumeration Date | 11/17/2020 |
Last Update Date | 02/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265035877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |