| West Carroll Family Healthcare | |
|
1125 E Highway 166 Bowdon GA 30108-2401 | |
| (770) 258-5424 | |
| (770) 838-8980 |
| Full Name | West Carroll Family Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1125 E Highway 166, Bowdon, Georgia |
| Authorized Official Name and Position | Clint Hoffman (SR VP) |
| Authorized Official Contact | 7708388845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Carroll Family Healthcare 100 Greenway Blvd Fl 2 Carrollton GA 30117-4338 Ph: (770) 838-8710 | West Carroll Family Healthcare 1125 E Highway 166 Bowdon GA 30108-2401 Ph: (770) 258-5424 |
| NPI Number | 1982631321 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 5991616039 |
|---|---|
| Medicare Enrollment ID | O20030918000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982631321 | NPI | - | NPPES |
| 000750274A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
The Medical Clinics Of Georgia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W.college Street, Bowdon, GA 30108 Phone: 770-258-1002 Fax: 770-258-1003 | |
Bowdon Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 W College St, Bowdon, GA 30108 Phone: 770-328-2006 |