OrganizationFamily Medical And Urgent Care Clinic Of Mcdonough, Llc(Family Health Clinic)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address1631 Hwy 20 W, Mcdonough, GA 30253-7311(770) 288-2822PECOS EnrollmentBased on the most recent information from CMS, provider Family Medical And Urgent Care Clinic Of Mcdonough, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:02 AM.Profile DetailsProvider ID1043440530Provider TypeOrganizationFull NameFamily Medical And Urgent Care Clinic Of Mcdonough, LlcOther NameFamily Health ClinicSubpartNoEnumeration Date7/20/2009Last Updated11/18/2022Contact InformationPractice LocationPractice Address1631 Hwy 20 W, Mcdonough, GA 30253-7311Phone(770) 288-2822Fax(770) 288-2820Mailing LocationMailing Address1631 Hwy 20 W, Mcdonough, GA 30253-7311Phone(770) 288-2822Fax(770) 288-2820Authorized OfficialNameEidson, Danielle O (Administrative Operations Manager)Phone(770) 288-2822Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense056874GeorgiaCode363AM0700XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense004088Georgia