| The Family Health Center@ Bolton Village | |
|
2011 Bolton Road Suite 104 Atlanta GA 30318-1137 | |
| (404) 799-0851 | |
| (404) 794-4798 |
| Full Name | The Family Health Center@ Bolton Village |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2011 Bolton Road, Atlanta, Georgia |
| Authorized Official Name and Position | Michael W Brooks (PRESIDENT, CEO) |
| Authorized Official Contact | 4047521400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Health Center@ Bolton Village 2011 Bolton Road Suite 104 Atlanta GA 30318-1137 Ph: (404) 799-0851 | The Family Health Center@ Bolton Village 2011 Bolton Road Suite 104 Atlanta GA 30318-1137 Ph: (404) 799-0851 |
| NPI Number | 1760612055 |
|---|---|
| Provider Enumeration Date | 07/21/2009 |
| Last Update Date | 02/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760612055 | NPI | - | NPPES |
| 000437478M | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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