| Gaydc | |
|
455 North Dr Fayetteville GA 30214-2628 | |
| (404) 593-9613 | |
| (770) 975-7732 |
| Full Name | Gaydc |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 455 North Dr, Fayetteville, Georgia |
| Authorized Official Name and Position | William Joseph Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4045939613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaydc 3305 Acworth Oaks Dr Nw Suite #200-pmb#123 Acworth GA 30101-6693 Ph: (404) 593-9613 | Gaydc 455 North Dr Fayetteville GA 30214-2628 Ph: (404) 593-9613 |
| NPI Number | 1992014823 |
|---|---|
| Provider Enumeration Date | 09/27/2010 |
| Last Update Date | 09/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992014823 | NPI | - | NPPES |
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