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NPI Code Detail

MEDICARE: AUBURN PRIMARY CARE, PC

MEDICARE: AUBURN PRIMARY CARE, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center044330GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346488707
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUBURN PRIMARY CARE, PC
Provider Business Mailing Address
First Line : 12 7TH ST
Second Line :
City : AUBURN
State : GA
Zip : 30011-3202
Country : US
Telephone Number : 770-822-5555
Fax Number : 770-822-6117
Provider Business Practice Location Address
First Line : 12 7TH ST
Second Line :
City : AUBURN
State : GA
Zip : 30011-3202
Country : US
Telephone Number : 770-822-5555
Fax Number : 770-822-6117
Authorized Official
Title or Position : OWNER
Name : DR. RICHARD MARK SCHLOSSBERG
Credential : M.D.
Telephone Number : 770-822-5555
Provider Enumeration Date : 01/23/2009
Last Update Date : 01/23/2009

Similar Medicare Providers

1962497941 — DR. RICHARD MARK SCHLOSSBERG M.D.
Practice Location Address:
12 7TH ST
AUBURN, GA
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Practice Phone: 770-822-5555
Practice Fax: 770-822-6117
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1164958484 — EHREN GLECKLER
Practice Location Address:
12 7TH ST
AUBURN, GA
30011-3202
Practice Phone: 770-848-9320
Practice Fax:
1912533316 — FARIDA BALOCH DANIELS FNP-C
Practice Location Address:
12 7TH ST
AUBURN, GA
30011-3202
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1811716251 — SARAH COLEGROVE MASIEWICZ MSN, APRN, FNP, ENP
Practice Location Address:
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AUBURN, GA
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Practice Fax:

Directions to “AUBURN PRIMARY CARE, PC ” Practice Location

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