Unknown Individual – Family Medicine Physician, NPI 1972590982
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Veterans Memorial Highway, Downtown Douglasville, Douglasville, Douglas County, Georgia, United States
DOUGLASVILLE, GA 301353366
Phone: (770) 949-5535
Fax: (770) 949-9022
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30135)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 81002 | Urinalysis, manual test | 64 | 61 |
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