| |
503 Main St Villa Rica GA 30180-1931 | |
(770) 462-1170 | |
(770) 462-1174 |
Full Name | |
---|---|
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 |
---|---|
503 Main St Villa Rica GA 30180-1931 Ph: (805) 869-3240 | 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 |
Nova Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20 Herrell Rd, Villa Rica, GA 30180 Phone: 770-726-7460 | |
Mcdowell & Co., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 S Carroll Rd Ste C, Villa Rica, GA 30180 Phone: 770-459-4131 | |
Center For General Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 W. Hwy 78, Suite D, Villa Rica, GA 30180 Phone: 770-456-9996 Fax: 770-456-9949 | |
Veranet Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Permian Way, Suite A, Villa Rica, GA 30180 Phone: 770-771-5235 Fax: 770-771-5236 |