Advocacy Healthcare Adult Medicine | |
175 Country Club Dr Suite 100 D Stockbridge GA 30281-9054 | |
(615) 430-7877 | |
Not Available |
Full Name | Advocacy Healthcare Adult Medicine |
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Speciality | Internal Medicine |
Location | 175 Country Club Dr, Stockbridge, Georgia |
Authorized Official Name and Position | Henry Lee Mckay (OWNER) |
Authorized Official Contact | 6154307877 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advocacy Healthcare Adult Medicine 180 Eagle Way Stockbridge GA 30281-6410 Ph: (615) 430-7877 | Advocacy Healthcare Adult Medicine 175 Country Club Dr Suite 100 D Stockbridge GA 30281-9054 Ph: (615) 430-7877 |
NPI Number | 1013307198 |
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Provider Enumeration Date | 01/28/2015 |
Last Update Date | 01/28/2015 |
Medicare PECOS PAC ID | 7416241302 |
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Medicare Enrollment ID | O20160816001864 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013307198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 54300 (Georgia) | Primary |
Provider Name | Henry Lee Mckay |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871657569 PECOS PAC ID: 5294711651 Enrollment ID: I20160816001960 |
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