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20 Herrell Rd Villa Rica GA 30180-5527 | |
(770) 456-3929 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 20 Herrell Rd, Villa Rica, Georgia |
Authorized Official Name and Position | Richard Glass (PRESIDENT/CEO) |
Authorized Official Contact | 4048581063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1149 Villa Rica GA 30180-6149 Ph: (404) 858-1063 | 20 Herrell Rd Villa Rica GA 30180-5527 Ph: (770) 456-3929 |
NPI Number | 1922346709 |
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Provider Enumeration Date | 01/29/2013 |
Last Update Date | 01/29/2013 |
Identifier | Type | State | Issuer |
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1922346709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 62989 (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 |