Walgreen Co
Specialty details in registry · Fayetteville, GA
At a glance
975 Highway 54 W, Fayetteville, GA 30214-4500
NPPES record updated May 10, 2022. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
975 Highway 54 WFayetteville, GA 30214-4500
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 333600000X
- Enumeration date
- Jul 24, 2017
- Record updated
- May 10, 2022
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
332B00000X
Specialty details in registry
333600000X · Primary
License reported: PHRE010609 GA
Specialty details in registry
3336C0003X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
975 Highway 54 WFayetteville, GA 30214-4500
- Phone
- (770) 719-3340
- Fax
- (770) 719-5176
Mailing address
1901 E VOORHEES STMS 790
DANVILLE, IL 618344509
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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