| Rausch Family Practice | |
|
1000 Wyngate Pkwy Suite 210 Woodstock GA 30189-6981 | |
| (678) 384-7305 | |
| (770) 928-9109 |
| Full Name | Rausch Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Wyngate Pkwy, Woodstock, Georgia |
| Authorized Official Name and Position | Judith Rausch (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4044446416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rausch Family Practice 1000 Wyngate Pkwy Suite 210 Woodstock GA 30189-6981 Ph: (678) 384-7305 | Rausch Family Practice 1000 Wyngate Pkwy Suite 210 Woodstock GA 30189-6981 Ph: (678) 384-7305 |
| NPI Number | 1033425939 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 08/30/2010 |
| Medicare PECOS PAC ID | 2264628627 |
|---|---|
| Medicare Enrollment ID | O20101124000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033425939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 019757 (Georgia) | Primary |
| Provider Name | Judith T Rausch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841216447 PECOS PAC ID: 0042406407 Enrollment ID: I20101124000317 |
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