| |
4700 Battlefield Pkwy Suite 200 Ringgold GA 30736-5166 | |
(706) 861-4990 | |
(706) 861-9405 |
Full Name | |
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Speciality | Family Medicine |
Location | 4700 Battlefield Pkwy, Ringgold, Georgia |
Authorized Official Name and Position | Paula Register (CEO) |
Authorized Official Contact | 4234956870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 116638 Atlanta GA 30368-6638 Ph: (423) 495-4912 | 4700 Battlefield Pkwy Suite 200 Ringgold GA 30736-5166 Ph: (706) 861-4990 |
NPI Number | 1922258946 |
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Provider Enumeration Date | 09/26/2008 |
Last Update Date | 09/26/2008 |
Identifier | Type | State | Issuer |
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1922258946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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