| Centerwell Senior Primary Care-east Paulding | |
|
3615 Charles Hardy Pkwy # 200 Dallas GA 30157-9472 | |
| (678) 941-6247 | |
| (678) 293-9610 |
| Full Name | Centerwell Senior Primary Care-east Paulding |
|---|---|
| Speciality | Internal Medicine |
| Location | 3615 Charles Hardy Pkwy # 200, Dallas, Georgia |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care-east Paulding 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (407) 447-7120 | Centerwell Senior Primary Care-east Paulding 3615 Charles Hardy Pkwy # 200 Dallas GA 30157-9472 Ph: (678) 941-6247 |
| NPI Number | 1366269367 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366269367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 208D00000X | General Practice | () | Secondary |
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