| Social Network Llc | |
|
2140 Mcgee Rd Ste C350 Snellville GA 30078-2987 | |
| (912) 245-6619 | |
| Not Available |
| Full Name | Social Network Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2140 Mcgee Rd Ste C350, Snellville, Georgia |
| Authorized Official Name and Position | Latoya Denise Davis (CEO) |
| Authorized Official Contact | 9122456618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Network Llc 2140 Mcgee Rd Ste C350 Snellville GA 30078-2987 Ph: (912) 245-6619 | Social Network Llc 2140 Mcgee Rd Ste C350 Snellville GA 30078-2987 Ph: (912) 245-6619 |
| NPI Number | 1881466811 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 2466803697 |
|---|---|
| Medicare Enrollment ID | O20240111002824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881466811 | NPI | - | NPPES |
| Provider Name | Latoya Denise Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629677414 PECOS PAC ID: 9638520869 Enrollment ID: I20240111003363 |
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