Peachtree Neurology Associates, P.c. | |
5730 Glenridge Dr Ste 220 Atlanta GA 30328-5579 | |
(404) 255-5330 | |
(404) 255-5416 |
Full Name | Peachtree Neurology Associates, P.c. |
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Speciality | Psychiatry & Neurology |
Location | 5730 Glenridge Dr Ste 220, Atlanta, Georgia |
Authorized Official Name and Position | Ramon M Sanchez (OWNER) |
Authorized Official Contact | 4042555330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peachtree Neurology Associates, P.c. Po Box 420297 Atlanta GA 30342-0297 Ph: (404) 255-5330 | Peachtree Neurology Associates, P.c. 5730 Glenridge Dr Ste 220 Atlanta GA 30328-5579 Ph: (404) 255-5330 |
NPI Number | 1457443137 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 09/01/2020 |
Certification Date | 09/01/2020 |
Medicare PECOS PAC ID | 7214921915 |
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Medicare Enrollment ID | O20040414000873 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457443137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | 033442 (Georgia) | Primary |
Provider Name | Ramon Marcos Sanchez |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1487678116 PECOS PAC ID: 3971631342 Enrollment ID: I20100505000298 |
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