Organization
FAMILY MEDICAL AND URGENT CARE CLINIC OF MCDONOUGH, LLC
Active
Other names
Family Medical Clinic of McDonough, Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE O EIDSON (ADMINISTRATIVE OPERATIONS MANAGER)
(770) 288-2822
Entity
Organization
Contact information
Practice address
1631 HWY 20 W, MCDONOUGH, GA 30253-7311
(770) 288-2822
(770) 288-2820
Mailing address
1631 HWY 20 W, MCDONOUGH, GA 30253-7311
(770) 288-2822
(770) 288-2820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
056874
GA
363AM0700X
Medical Physician Assistant
004088
GA
Other
Enumeration date
07/20/2009
Last updated
01/12/2026
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