| Gme Diagnostics | |
|
655 Village Square Dr Stone Mountain GA 30083-3300 | |
| (470) 489-7917 | |
| Not Available |
| Full Name | Gme Diagnostics |
|---|---|
| Speciality | Technician, Pathology |
| Location | 655 Village Square Dr, Stone Mountain, Georgia |
| Authorized Official Name and Position | Tameka Duncan (OWNER) |
| Authorized Official Contact | 4704897917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gme Diagnostics Po Box 491232 Lawrenceville GA 30049-0021 Ph: (470) 881-2285 | Gme Diagnostics 655 Village Square Dr Stone Mountain GA 30083-3300 Ph: (470) 489-7917 |
| NPI Number | 1982216503 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 3577994466 |
|---|---|
| Medicare Enrollment ID | O20211029001652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982216503 | NPI | - | NPPES |
| 0480262 | Medicaid | OH | |
| 1123454 | Other | GA | COMMERCIAL |
| 365411 | Other | FL | MULTI-SPECIALTY FACILITY |
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