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6043 Prestley Mill Rd Suite C Douglasville GA 30134-2280 | |
(770) 920-3076 | |
(770) 949-8969 |
Full Name | |
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Speciality | Internal Medicine - Infectious Disease |
Location | 6043 Prestley Mill Rd, Douglasville, Georgia |
Authorized Official Name and Position | Nicole Ashe (EXECUTIVE DIRECTOR OF FINANCE) |
Authorized Official Contact | 4706440095 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6043 Prestley Mill Rd Suite C Douglasville GA 30134-2280 Ph: (770) 920-3076 | 6043 Prestley Mill Rd Suite C Douglasville GA 30134-2280 Ph: (770) 920-3076 |
NPI Number | 1194078170 |
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Provider Enumeration Date | 10/16/2012 |
Last Update Date | 05/27/2015 |
Identifier | Type | State | Issuer |
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1194078170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | (Georgia) | Primary |
Douglas County Family Practice, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3872 Highway 5, Douglasville, GA 30135 Phone: 770-949-5535 Fax: 770-949-9022 | |
Bwell Medical And Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5933 Stewart Pkwy, Douglasville, GA 30135 Phone: 470-331-9468 Fax: 770-234-5717 | |
Atlanta West Gastroenterology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6084 Professional Parkway, Suite #c, Douglasville, GA 30134 Phone: 770-949-6548 Fax: 770-949-9561 | |