| Diversified Medical Clinic, Llc | |
|
305 Carrollton St Temple GA 30179-3796 | |
| (678) 830-2294 | |
| (678) 890-5840 |
| Full Name | Diversified Medical Clinic, Llc |
|---|---|
| Speciality | Nurse Practitioner - Primary Care |
| Location | 305 Carrollton St, Temple, Georgia |
| Authorized Official Name and Position | Latoya Katrese Buford (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 6788302294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Medical Clinic, Llc 305 Carrollton St Temple GA 30179-3796 Ph: (678) 830-2294 | Diversified Medical Clinic, Llc 305 Carrollton St Temple GA 30179-3796 Ph: (678) 830-2294 |
| NPI Number | 1932869856 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932869856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
Total Care Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Carrollton St, Temple, GA 30179 Phone: 770-942-1044 Fax: 770-942-1699 | |
Manna Medical & Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Carrollton Highway, Temple, GA 30178 Phone: 770-562-0777 Fax: 770-562-0333 |