Azure For Health & Human Services | |
801 Macy Dr Roswell GA 30076-6333 | |
(678) 799-9277 | |
(678) 795-9709 |
Full Name | Azure For Health & Human Services |
---|---|
Speciality | Clinic/Center |
Location | 801 Macy Dr, Roswell, Georgia |
Authorized Official Name and Position | Osama Saad Hindash (OWNER) |
Authorized Official Contact | 6787999277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Azure For Health & Human Services 801 Macy Dr Roswell GA 30076-6333 Ph: (678) 799-9277 | Azure For Health & Human Services 801 Macy Dr Roswell GA 30076-6333 Ph: (678) 799-9277 |
NPI Number | 1154466647 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 09/09/2010 |
Medicare PECOS PAC ID | 8527109701 |
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Medicare Enrollment ID | O20100111000138 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154466647 | NPI | - | NPPES |
300766339 | Other | GA | MAGELLAN |
3503338 | Other | GA | AETNA |
52624445 006 | Other | GA | BLUE CROSS BLUE SHIELD |
209235687A | Medicaid | GA | |
1545911 | Other | GA | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 035652 (Georgia) | Primary |
Provider Name | Heather Donielle Jones |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689710790 PECOS PAC ID: 8022250372 Enrollment ID: I20130815000599 |
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