| Hometown Family Medicine | |
|
1698 Vernon Rd Lagrange GA 30240-4100 | |
| (706) 298-4937 | |
| Not Available |
| Full Name | Hometown Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1698 Vernon Rd, Lagrange, Georgia |
| Authorized Official Name and Position | Clarence Terrell Alford (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7065941598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Family Medicine 300 Mooty Bridge Rd Suite 114 Lagrange GA 30240-1881 Ph: (706) 523-1699 | Hometown Family Medicine 1698 Vernon Rd Lagrange GA 30240-4100 Ph: (706) 298-4937 |
| NPI Number | 1992153548 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 08/02/2016 |
| Medicare PECOS PAC ID | 1759678824 |
|---|---|
| Medicare Enrollment ID | O20160919000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992153548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 044619 (Georgia) | Primary |
| Provider Name | Clarence T Alford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497795397 PECOS PAC ID: 5698847879 Enrollment ID: I20080703000056 |
| Provider Name | Clifford Tumambing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992934640 PECOS PAC ID: 6002065653 Enrollment ID: I20120926000090 |
| Provider Name | Erin H Meeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063705275 PECOS PAC ID: 9739320722 Enrollment ID: I20130802000787 |
| Provider Name | Kristin Lauren Mallory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992384507 PECOS PAC ID: 6103220264 Enrollment ID: I20210811002223 |
The Upper Cervical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1697 Vernon Rd Ste A, Lagrange, GA 30240 Phone: 706-415-5245 | |
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Troup Cares, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Medical Dr Ste 501, Lagrange, GA 30240 Phone: 706-882-1191 Fax: 706-882-9591 | |
Lagrange Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Medical Dr, Ste 406, Lagrange, GA 30240 Phone: 706-845-7029 Fax: 706-812-1797 | |
West Georgia Health Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 | |
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