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NPI Code Detail

MEDICARE: THE FAMILY HEALTH CENTERS OF GEORGIA, INC

MEDICARE: THE FAMILY HEALTH CENTERS OF GEORGIA, INC
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
1261QF0400XFederally Qualified Health Center (FQHC)N/AGA

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 : 1720080989
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE FAMILY HEALTH CENTERS OF GEORGIA, INC
Provider Business Mailing Address
First Line : 868 YORK AVE SW
Second Line :
City : ATLANTA
State : GA
Zip : 30310-2750
Country : US
Telephone Number : 404-752-1400
Fax Number : 404-756-8749
Provider Business Practice Location Address
First Line : 868 YORK AVE SW
Second Line :
City : ATLANTA
State : GA
Zip : 30310-2750
Country : US
Telephone Number : 404-752-1400
Fax Number : 404-756-8749
Authorized Official
Title or Position : PRESIDENT, CEO
Name : DR. MICHAEL W. BROOKS
Credential : MD
Telephone Number : 404-752-1400
Provider Enumeration Date : 06/01/2005
Last Update Date : 02/01/2023

Similar Medicare Providers

1952307787 — LINDA JEAN CANNON MD
Practice Location Address:
868 YORK AVE SW
ATLANTA, GA
30310-2750
Practice Phone: 404-756-6880
Practice Fax: 404-756-6870
1558355297 — ANGELITA M COVINGTON M.D.
Practice Location Address:
868 YORK AVE SW
ATLANTA, GA
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1174513089 — MICHAEL WAYNE BROOKS M.D.
Practice Location Address:
868 YORK AVE SW
ATLANTA, GA
30310-2750
Practice Phone: 404-752-1400
Practice Fax: 404-758-0740
1710952387 — MRS. KIMBERLY GORE-GRIFFIN PHYSICIAN ASSISTANT
Practice Location Address:
868 YORK AVE SW
ATLANTA, GA
30310-2750
Practice Phone: 404-752-1438
Practice Fax: 404-756-6870
1528034816 — ROY CURTIS BROOKS DDS
Practice Location Address:
868 YORK AVE SW
ATLANTA, GA
30310-2750
Practice Phone: 404-752-1400
Practice Fax: 404-756-8749
1770551400 — DR. ANGELA M HALL M.D
Practice Location Address:
868 YORK AVE SW
ATLANTA, GA
30310-2750
Practice Phone: 404-752-1438
Practice Fax: 404-758-4594

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