Organization
DC FAMILY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA CARMICHAEL DNP (PRESIDENT)
(770) 880-0784
Entity
Organization
Contact information
Practice address
1404 SOUTHLAKE PLAZA DR, MORROW, GA 30260-1756
(770) 696-3960
Mailing address
1013 BATTERSEA PL, LOCUST GROVE, GA 30248-2077
(770) 696-3960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
12/30/2024
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