| |
3333 Old Milton Pkwy Ste 170 Alpharetta GA 30005-0008 | |
(678) 513-2228 | |
(678) 513-1147 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3333 Old Milton Pkwy Ste 170, Alpharetta, Georgia |
Authorized Official Name and Position | Alan David Einstein (PHYSICIAN OWNER) |
Authorized Official Contact | 6785132228 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3333 Old Milton Pkwy Ste 170 Alpharetta GA 30005-0008 Ph: (678) 575-5129 | 3333 Old Milton Pkwy Ste 170 Alpharetta GA 30005-0008 Ph: (678) 513-2228 |
NPI Number | 1437275534 |
---|---|
Provider Enumeration Date | 03/21/2007 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 8921186438 |
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Medicare Enrollment ID | O20080424000326 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437275534 | NPI | - | NPPES |
00737338B | Medicaid | GA | |
GA 040900 | Other | GA LICENSE | |
OS 6892 | Other | FL | FLORIDA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | GA 040900 (Georgia) | Primary |
Provider Name | Alan Einstein |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740306943 PECOS PAC ID: 5597843003 Enrollment ID: I20080424000305 |
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