| Acworth Primary Healthcare | |
|
4465 Lemon St Acworth GA 30101-5418 | |
| (770) 529-7478 | |
| (770) 529-7458 |
| Full Name | Acworth Primary Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 4465 Lemon St, Acworth, Georgia |
| Authorized Official Name and Position | Harnish R Patel (SOLE OWNER) |
| Authorized Official Contact | 7705297478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acworth Primary Healthcare 4465 Lemon St Acworth GA 30101-5418 Ph: (770) 529-7478 | Acworth Primary Healthcare 4465 Lemon St Acworth GA 30101-5418 Ph: (770) 529-7478 |
| NPI Number | 1588826481 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 05/24/2016 |
| Medicare PECOS PAC ID | 9133291180 |
|---|---|
| Medicare Enrollment ID | O20080708000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588826481 | NPI | - | NPPES |
| 54 5241304B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 58307 (Georgia) | Primary |
| Provider Name | Harnish R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215025697 PECOS PAC ID: 8921104712 Enrollment ID: I20070511000323 |
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