| Afc Physicians Of Georgia Urgent Care, Pc | |
|
3481 Ernest Barrett Pkwy Marietta GA 30064-2703 | |
| (678) 348-5119 | |
| (678) 348-5120 |
| Full Name | Afc Physicians Of Georgia Urgent Care, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3481 Ernest Barrett Pkwy, Marietta, Georgia |
| Authorized Official Name and Position | Moinuddin Kazi (OWNER) |
| Authorized Official Contact | 2054038902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Afc Physicians Of Georgia Urgent Care, Pc 3700 Cahaba Beach Rd Birmingham AL 35242-5225 Ph: (205) 421-2151 | Afc Physicians Of Georgia Urgent Care, Pc 3481 Ernest Barrett Pkwy Marietta GA 30064-2703 Ph: (678) 348-5119 |
| NPI Number | 1225617525 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 06/20/2024 |
| Medicare PECOS PAC ID | 9436554318 |
|---|---|
| Medicare Enrollment ID | O20210817000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225617525 | NPI | - | NPPES |
| Provider Name | Angela K Crowell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992787428 PECOS PAC ID: 4284527797 Enrollment ID: I20040206000467 |
| Provider Name | Moinuddin Kazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487746483 PECOS PAC ID: 3678589975 Enrollment ID: I20060223000496 |
| Provider Name | Michele Pennington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093793622 PECOS PAC ID: 8426150210 Enrollment ID: I20091028000466 |
| Provider Name | Adil M Ansari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730366378 PECOS PAC ID: 0941492102 Enrollment ID: I20150505001777 |
| Provider Name | Jeffrey Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003859455 PECOS PAC ID: 5991756546 Enrollment ID: I20160201002329 |
| Provider Name | John R Destito |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770540841 PECOS PAC ID: 3476455312 Enrollment ID: I20160523000917 |
| Provider Name | Lucy Bibisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356715726 PECOS PAC ID: 4486951720 Enrollment ID: I20161028000420 |
| Provider Name | Sophia A Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811418650 PECOS PAC ID: 7810220993 Enrollment ID: I20190604002131 |
| Provider Name | Sylvia Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700937067 PECOS PAC ID: 6800967159 Enrollment ID: I20191001001495 |
| Provider Name | Rachna Gupta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376087171 PECOS PAC ID: 8820374838 Enrollment ID: I20191023003698 |
| Provider Name | Jay Jagdish Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801327804 PECOS PAC ID: 2860762564 Enrollment ID: I20200708001737 |
| Provider Name | Noah Hamed Abbas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982991246 PECOS PAC ID: 2567691561 Enrollment ID: I20220105002165 |
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