A Mind Affair | |
2938 Hidden Falls Dr Buford GA 30519-4551 | |
(770) 656-5666 | |
Not Available |
Full Name | A Mind Affair |
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Speciality | Clinic/Center |
Location | 2938 Hidden Falls Dr, Buford, Georgia |
Authorized Official Name and Position | Frantz Georges (CEO) |
Authorized Official Contact | 7706565666 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A Mind Affair 2938 Hidden Falls Dr Buford GA 30519-4551 Ph: (770) 656-5666 | A Mind Affair 2938 Hidden Falls Dr Buford GA 30519-4551 Ph: (770) 656-5666 |
NPI Number | 1649802695 |
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Provider Enumeration Date | 02/07/2020 |
Last Update Date | 02/07/2020 |
Certification Date | 02/07/2020 |
Medicare PECOS PAC ID | 3274962105 |
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Medicare Enrollment ID | O20200328000067 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649802695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Frantz Georges |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881064830 PECOS PAC ID: 3971803073 Enrollment ID: I20151120002502 |
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