| William C. Lambert M.d. | |
|
110 Lloyd Ave Tyrone GA 30290-2124 | |
| (770) 486-1200 | |
| Not Available |
| Full Name | William C. Lambert M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Lloyd Ave, Tyrone, Georgia |
| Authorized Official Name and Position | William C Lambert (OWNER) |
| Authorized Official Contact | 7704861200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William C. Lambert M.d. 110 Lloyd Ave Tyrone GA 30290-2124 Ph: (770) 468-1200 | William C. Lambert M.d. 110 Lloyd Ave Tyrone GA 30290-2124 Ph: (770) 486-1200 |
| NPI Number | 1922041714 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 08/24/2011 |
| Medicare PECOS PAC ID | 3870655822 |
|---|---|
| Medicare Enrollment ID | O20110919000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922041714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 035926 (Georgia) | Primary |
| Provider Name | William C Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922036607 PECOS PAC ID: 3375550494 Enrollment ID: I20060315000341 |
| Provider Name | Nicole D Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346778966 PECOS PAC ID: 0840545109 Enrollment ID: I20180611001053 |
| Provider Name | Georgina Angeline Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356865570 PECOS PAC ID: 4587910047 Enrollment ID: I20180713000744 |
| Provider Name | Lauren Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386281863 PECOS PAC ID: 5991130270 Enrollment ID: I20200114002541 |
| Provider Name | Leslie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962877506 PECOS PAC ID: 8224333737 Enrollment ID: I20200331000620 |
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