| Hillside Family Medicine Clinic | |
|
1685 Mars Hill Rd Nw Ste 201 Acworth GA 30101-7180 | |
| (770) 485-0031 | |
| (678) 903-4137 |
| Full Name | Hillside Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1685 Mars Hill Rd Nw Ste 201, Acworth, Georgia |
| Authorized Official Name and Position | Sandeep Dhaliwal (MD) |
| Authorized Official Contact | 7704850031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillside Family Medicine Clinic 1685 Mars Hill Rd Nw Ste 201 Acworth GA 30101-7180 Ph: (770) 485-0031 | Hillside Family Medicine Clinic 1685 Mars Hill Rd Nw Ste 201 Acworth GA 30101-7180 Ph: (770) 485-0031 |
| NPI Number | 1174292882 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 01/12/2022 |
| Medicare PECOS PAC ID | 4385041813 |
|---|---|
| Medicare Enrollment ID | O20210924002425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174292882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandeep Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245731298 PECOS PAC ID: 0840553525 Enrollment ID: I20210622002702 |
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