| Regency Health Associates | |
|
374 Osprey Pt Stone Mountain GA 30087-6163 | |
| (770) 413-1197 | |
| Not Available |
| Full Name | Regency Health Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 374 Osprey Pt, Stone Mountain, Georgia |
| Authorized Official Name and Position | Diane R Alexander (CEO) |
| Authorized Official Contact | 7704148005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regency Health Associates Po Box 870614 Stone Mountain GA 30087-0016 Ph: () - | Regency Health Associates 374 Osprey Pt Stone Mountain GA 30087-6163 Ph: (770) 413-1197 |
| NPI Number | 1548323082 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 09/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548323082 | NPI | - | NPPES |
| 85000886G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 033908 (Georgia) | Primary |
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