| John Straetmans Md Pc | |
|
294 S Main St Suite 200 Alpharetta GA 30009-7918 | |
| (770) 754-5555 | |
| (770) 754-5511 |
| Full Name | John Straetmans Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 294 S Main St, Alpharetta, Georgia |
| Authorized Official Name and Position | Mary Louise Straetmans (OWNER) |
| Authorized Official Contact | 7707545555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Straetmans Md Pc 294 S Main St Suite 200 Alpharetta GA 30009-7918 Ph: (770) 754-5555 | John Straetmans Md Pc 294 S Main St Suite 200 Alpharetta GA 30009-7918 Ph: (770) 754-5555 |
| NPI Number | 1225400401 |
|---|---|
| Provider Enumeration Date | 10/27/2015 |
| Last Update Date | 10/27/2015 |
| Medicare PECOS PAC ID | 6406166271 |
|---|---|
| Medicare Enrollment ID | O20151106000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225400401 | NPI | - | NPPES |
| 26BDGGW | Other | GA | CMS PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 36019 (Georgia) | Primary |
| Provider Name | John P Straetmans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134126733 PECOS PAC ID: 8628072584 Enrollment ID: I20060907000078 |
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