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Clarkston Family Medicine
Point of Service in Clarkston, Georgia
NPI 1588944771

Clarkston Family Medicine is a Point of Service based in Clarkston, GA. Clarkston Family Medicine practices in Clarkston, GA. The NPI Number for Clarkston Family Medicine is 1588944771 and holds a License No. 019886 (Georgia).

The current practice location address for Clarkston Family Medicine is 3603 W Hill St, Clarkston, GA and can be reached out via phone at 404-299-7534 and via fax at 404-299-0608.

Location: 3603 W Hill St, Clarkston, GA, 30021-1207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588944771
Provider Name
Clarkston Family Medicine
Credential
Provider Entity Type
Organization
Address
3603 W Hill St, Clarkston, GA, 30021-1207
Phone Number
404-299-7534
Fax Number
404-299-0608
Provider Enumeration Date
08/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0085000391G 05 GA
institution
Provider Business Practice Location Address Details
Address
3603 W Hill St
City
Clarkston
State
Georgia
Zip
30021-1207
Phone Number
404-299-7534
Fax Number
404-299-0608
person
Provider Business Mailing Address Details
Address
3603 W Hill St
City
Clarkston
State
Georgia
Zip
30021-1207
Phone Number
404-299-7534
Fax Number
404-299-0608
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
019886 (Georgia)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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