Abundant Living Foundation, Inc. | |
1558 Marietta Hwy Ste 200 Canton GA 30114-3615 | |
(914) 275-1477 | |
Not Available |
Full Name | Abundant Living Foundation, Inc. |
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Speciality | Clinic/Center |
Location | 1558 Marietta Hwy Ste 200, Canton, Georgia |
Authorized Official Name and Position | Evelynmarie Sabrinah Dorce (FOUNDER AND EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4042828292 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Abundant Living Foundation, Inc. 840 Commerce Trl Canton GA 30114-7572 Ph: (914) 275-1477 | Abundant Living Foundation, Inc. 1558 Marietta Hwy Ste 200 Canton GA 30114-3615 Ph: (914) 275-1477 |
NPI Number | 1033973854 |
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Provider Enumeration Date | 02/12/2024 |
Last Update Date | 02/12/2024 |
Medicare PECOS PAC ID | 3173059979 |
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Medicare Enrollment ID | O20241203003828 |
Identifier | Type | State | Issuer |
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1033973854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
Donna C. Haley, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 687 Marietta Hwy, Canton, GA 30114 Phone: 770-479-8040 Fax: 770-479-7871 | |
Medical Care Of Georgia, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Medical Ln, Canton, GA 30114 Phone: 770-345-2300 Fax: 770-345-2330 | |
Northcrest Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7768 Cumming Hwy, Suite 300, Canton, GA 30114 Phone: 770-720-2113 Fax: 770-704-7365 |