| South Perimeter Family Physicians | |
|
1773 Sweetwater St Austell GA 30106-3294 | |
| (770) 745-2700 | |
| (770) 745-2703 |
| Full Name | South Perimeter Family Physicians |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1773 Sweetwater St, Austell, Georgia |
| Authorized Official Name and Position | Arnold Dollar Gaskin (PHYSICIAN OWNER) |
| Authorized Official Contact | 7707452700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Perimeter Family Physicians 1773 Sweetwater St Austell GA 30106-3294 Ph: (770) 745-2700 | South Perimeter Family Physicians 1773 Sweetwater St Austell GA 30106-3294 Ph: (770) 745-2700 |
| NPI Number | 1568674315 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568674315 | NPI | - | NPPES |
| 85002211G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036382 (Georgia) | Primary |
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