Advance Therapeutic Concepts, Inc. | |
2795 Main St W Suite 20b Snellville GA 30078-3164 | |
(678) 344-7836 | |
(678) 892-8575 |
Full Name | Advance Therapeutic Concepts, Inc. |
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Speciality | Community/Behavioral Health |
Location | 2795 Main St W, Snellville, Georgia |
Authorized Official Name and Position | Schantate O Johnson (CEO) |
Authorized Official Contact | 6783447836 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advance Therapeutic Concepts, Inc. 2795 Main St W Suite 20b Snellville GA 30078-3164 Ph: (678) 344-7836 | Advance Therapeutic Concepts, Inc. 2795 Main St W Suite 20b Snellville GA 30078-3164 Ph: (678) 344-7836 |
NPI Number | 1932511144 |
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Provider Enumeration Date | 05/21/2014 |
Last Update Date | 05/21/2014 |
Medicare PECOS PAC ID | 0143635425 |
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Medicare Enrollment ID | O20210218002042 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932511144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Schantate Johnson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275830523 PECOS PAC ID: 2961817242 Enrollment ID: I20210414002762 |
Provider Name | Cecelia Dixie |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851624993 PECOS PAC ID: 6103214481 Enrollment ID: I20211020000602 |
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