OrganizationWalnut Creek Family Practice, P.C.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address4303 Jodeco Rd, Mcdonough, GA 30253-8297(770) 898-7840PECOS EnrollmentBased on the most recent information from CMS, provider Walnut Creek Family Practice, P.C. 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 9:15 AM.Profile DetailsProvider ID1922019850Provider TypeOrganizationFull NameWalnut Creek Family Practice, P.C.SubpartNoEnumeration Date8/9/2006Last Updated3/20/2019Contact InformationPractice LocationPractice Address4303 Jodeco Rd, Mcdonough, GA 30253-8297Phone(770) 898-7840Fax(770) 898-7960Mailing LocationMailing AddressPO Box 688, Mcdonough, GA 30253-0688Phone(770) 898-7840Fax(770) 898-7960Authorized OfficialNameSlavico, Andrew J (Owner)Phone(770) 898-7840Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer