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809 Peachtree St Louisville GA 30434-1449 | |
(478) 625-7597 | |
(478) 625-8364 |
Full Name | |
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Speciality | Family Medicine |
Location | 809 Peachtree St, Louisville, Georgia |
Authorized Official Name and Position | Firoz Patka (PRESIDENT) |
Authorized Official Contact | 4786257597 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2514 Tobacco Rd Ste C Hephzibah GA 30815-7005 Ph: (706) 790-0311 | 809 Peachtree St Louisville GA 30434-1449 Ph: (478) 625-7597 |
NPI Number | 1114956075 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1114956075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medical-care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Peachtree St, Louisville, GA 30434 Phone: 478-625-7597 | |