| United Family Medical Center | |
|
7794 Ella Ln Ste G Fairburn GA 30213-5512 | |
| (770) 632-6093 | |
| (770) 632-6095 |
| Full Name | United Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 7794 Ella Ln Ste G, Fairburn, Georgia |
| Authorized Official Name and Position | Catherine Emeruwa (MD) |
| Authorized Official Contact | 7706326093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Family Medical Center 7794 Ella Ln Ste G Fairburn GA 30213-5512 Ph: (770) 632-6093 | United Family Medical Center 7794 Ella Ln Ste G Fairburn GA 30213-5512 Ph: (770) 632-6093 |
| NPI Number | 1902088164 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 02/16/2015 |
| Medicare PECOS PAC ID | 3375575137 |
|---|---|
| Medicare Enrollment ID | O20050901000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902088164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 049008 (Georgia) | Primary |
| Provider Name | Catherine C Emeruwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376621151 PECOS PAC ID: 0648242727 Enrollment ID: I20040810000062 |
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