| Northeast Georgia Physicians Group, Inc. | |
|
115 Towne Center Pkwy Suite 113 Hoschton GA 30548-2213 | |
| (706) 658-2452 | |
| (706) 658-2462 |
| Full Name | Northeast Georgia Physicians Group, Inc. |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 115 Towne Center Pkwy, Hoschton, Georgia |
| Authorized Official Name and Position | J. Shannon Glover (EXEC. DIRECTOR MANAGED CARE) |
| Authorized Official Contact | 7702197826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Georgia Physicians Group, Inc. 115 Towne Center Pkwy Suite 113 Hoschton GA 30548-2213 Ph: (706) 658-2452 | Northeast Georgia Physicians Group, Inc. 115 Towne Center Pkwy Suite 113 Hoschton GA 30548-2213 Ph: (706) 658-2452 |
| NPI Number | 1104009059 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 04/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104009059 | NPI | - | NPPES |
| 574554373A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 60363 (Georgia) | Primary |
Four Corners Primary Care Centers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 Towne Center Pkwy, Suite 113, Hoschton, GA 30548 Phone: 770-806-2928 | |
Jsj Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7180 Wrights Ln, Hoschton, GA 30548 Phone: 917-734-1664 | |
The Braselton Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5875 Thompson Mill Rd, Ste. 200, Hoschton, GA 30548 Phone: 770-965-2022 Fax: 770-967-6325 |