Tyrone Family Medicine | |
110 Lloyd Ave Tyrone GA 30290-2124 | |
(770) 486-1200 | |
Not Available |
Full Name | Tyrone Family Medicine |
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Speciality | Family Medicine |
Location | 110 Lloyd Ave, Tyrone, Georgia |
Authorized Official Name and Position | William C Lambert (OWNER) |
Authorized Official Contact | 7704861200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tyrone Family Medicine 110 Lloyd Ave Tyrone GA 30290-2124 Ph: (770) 468-1200 | Tyrone Family Medicine 110 Lloyd Ave Tyrone GA 30290-2124 Ph: (770) 486-1200 |
NPI Number | 1922041714 |
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Provider Enumeration Date | 06/13/2006 |
Last Update Date | 08/24/2011 |
Medicare PECOS PAC ID | 3870655822 |
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Medicare Enrollment ID | O20110919000538 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922041714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 035926 (Georgia) | Primary |
Provider Name | William C Lambert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922036607 PECOS PAC ID: 3375550494 Enrollment ID: I20060315000341 |
Provider Name | Gloria J. Carusi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497974414 PECOS PAC ID: 8527239789 Enrollment ID: I20110919000756 |
Provider Name | Nicole D Knight |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346778966 PECOS PAC ID: 0840545109 Enrollment ID: I20180611001053 |
Provider Name | Georgina Angeline Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356865570 PECOS PAC ID: 4587910047 Enrollment ID: I20180713000744 |
Provider Name | Lauren Schwartz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386281863 PECOS PAC ID: 5991130270 Enrollment ID: I20200114002541 |
Provider Name | Leslie Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962877506 PECOS PAC ID: 8224333737 Enrollment ID: I20200331000620 |
Momentum Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Handley Rd, #400, Tyrone, GA 30290 Phone: 404-597-9523 | |
Wingard Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Swanson Rd, Tyrone, GA 30290 Phone: 770-964-5230 Fax: 770-964-5260 | |
Genesys Family Practice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Handley Rd, Suite 410, Tyrone, GA 30290 Phone: 770-964-5810 Fax: 678-364-1216 | |
Trilogy Wingard Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Swanson Rd, Tyrone, GA 30290 Phone: 770-964-5230 Fax: 770-964-5260 | |
Jad Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Swanson Rd, Tyrone, GA 30290 Phone: 770-964-5230 Fax: 770-964-5260 | |
Pmc Long Term Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 Greencastle Rd # 2, Tyrone, GA 30290 Phone: 770-487-7807 Fax: 770-487-7619 | |
Summit Health Primary And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290 Phone: 678-430-8478 |