Family Medical Clinic Of Snellville in Snellville - Primary Care
Family Medical Clinic Of Snellville - NPI 1568628618
Family Medical Clinic Of Snellville is a Primary Care in Snellville, Georgia. Family Medical Clinic Of Snellville practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Family Medical Clinic Of Snellville is 1568628618. The last update date is 2015-06-10.
Family Medical Clinic Of Snellville's current location address is 3891 Stone Mountain Hwy, Snellville, Georgia. You can contact this provider via phone number 7709724764 and fax number 7709724164. The mailing address for Family Medical Clinic Of Snellville is 3891 Stone Mountain Hwy, Snellville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Medical Clinic Of Snellville |
|---|---|
| Address | 3891 Stone Mountain Hwy, Snellville, Georgia |
| Phone Number | 7709724764 |
| Fax Number | 7709724164 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Freeman Glenn Gordon |
| Credentials | M.D. |
| Telephone Number | 7709724764 |
NPI Number Detail
| NPI Number | 1568628618 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2015-06-10 |
Provider Mailing Address Detail
| Address | 3891 Stone Mountain Hwy |
|---|---|
| City | Snellville |
| State | Georgia (GA) |
| Post Code | 300393932 |
| Phone Number | 7709724764 |
| Fax Number | 7709724164 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 23958 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 52260821001 | GA | BC PROVIDER ID | |
| 1083652267 | IND. NPI | ||
| 4073314 | GA | AETNA PROVIDER ID |
Post Comment/ Review Below
What is the Family Medical Clinic Of Snellville's 1568628618?
The Family Medical Clinic Of Snellville's NPI (National Provider Identifier) Number is 1568628618. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Family Medical Clinic Of Snellville is physically located?
The Family Medical Clinic Of Snellville is situated at the following address: 3891 Stone Mountain Hwy, Snellville, GA 300393932.
What is Family Medical Clinic Of Snellville's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Family Medical Clinic Of Snellville is Primary Care, and the taxonomy classification code that categorizes this area of expertise is 261Qp2300X.
On what date was the 1568628618 assigned to Family Medical Clinic Of Snellville?
The Family Medical Clinic Of Snellville was issued its 1568628618 on 2008-07-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Family Medical Clinic Of Snellville, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Family Medical Clinic Of Snellville, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-06-10.