| Templemed Health | |
|
503 Main St Villa Rica GA 30180-1931 | |
| (770) 462-1170 | |
| (770) 462-1174 |
| Full Name | Templemed Health |
|---|---|
| Speciality | Family Medicine |
| Location | 503 Main St, Villa Rica, Georgia |
| Authorized Official Name and Position | Lori A Hudson (OWNER PROVIDER) |
| Authorized Official Contact | 7704621170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Templemed Health 503 Main St Villa Rica GA 30180-1931 Ph: (805) 869-3240 | Templemed Health 503 Main St Villa Rica GA 30180-1931 Ph: (770) 462-1170 |
| NPI Number | 1740406438 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740406438 | NPI | - | NPPES |
| 000805153C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RN101917-NP (Georgia) | Primary |
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