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3885 Mundy Mill Rd Ste 114 Oakwood GA 30566-3432 | |
(678) 971-1892 | |
(678) 971-1895 |
Full Name | |
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Speciality | Family Medicine |
Location | 3885 Mundy Mill Rd Ste 114, Oakwood, Georgia |
Authorized Official Name and Position | Andrea Malik-roe (CFO) |
Authorized Official Contact | 6785046392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1275 Highway 54 W Ste 201 Fayetteville GA 30214-4538 Ph: (678) 688-9685 | 3885 Mundy Mill Rd Ste 114 Oakwood GA 30566-3432 Ph: (678) 971-1892 |
NPI Number | 1982190039 |
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Provider Enumeration Date | 07/02/2018 |
Last Update Date | 07/02/2018 |
Identifier | Type | State | Issuer |
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1982190039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | INV-3-18-12009 (Georgia) | Primary |
Oakwood Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3626 Old Oakwood Rd, Oakwood, GA 30566 Phone: 770-503-9285 Fax: 770-287-0477 |