| Woodpark Medical Center | |
|
203 Woodpark Pl Bldg C Woodstock GA 30188-3764 | |
| (770) 926-4150 | |
| (770) 874-0452 |
| Full Name | Woodpark Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 203 Woodpark Pl Bldg C, Woodstock, Georgia |
| Authorized Official Name and Position | Kimberly D Todd (INSURANCE DEPT. MANAGER) |
| Authorized Official Contact | 7709264150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodpark Medical Center 203 Woodpark Pl Blg C Woodstock GA 30188-3764 Ph: (770) 926-4150 | Woodpark Medical Center 203 Woodpark Pl Bldg C Woodstock GA 30188-3764 Ph: (770) 926-4150 |
| NPI Number | 1750509964 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750509964 | NPI | - | NPPES |
| 055001022A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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