Accelerated Wellness & Aesthetics Pc | |
3901 Georgia St Ne Albuquerque NM 87110-1359 | |
(405) 537-0052 | |
Not Available |
Full Name | Accelerated Wellness & Aesthetics Pc |
---|---|
Speciality | Family Medicine |
Location | 3901 Georgia St Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Joseph Gill (PRESIDENT) |
Authorized Official Contact | 5059165128 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Accelerated Wellness & Aesthetics Pc 3901 Georgia St Ne Ste E4 Albuquerque NM 87110-1388 Ph: (505) 916-5128 | Accelerated Wellness & Aesthetics Pc 3901 Georgia St Ne Albuquerque NM 87110-1359 Ph: (405) 537-0052 |
NPI Number | 1659082121 |
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Provider Enumeration Date | 12/06/2022 |
Last Update Date | 05/09/2023 |
Medicare PECOS PAC ID | 5597136838 |
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Medicare Enrollment ID | O20230124000854 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659082121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Joseph Linn Gill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326641630 PECOS PAC ID: 1052720331 Enrollment ID: I20210518000746 |
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