Allcare Health Clinic | |
2220 Atlanta Rd Se Smyrna GA 30080-1583 | |
(770) 970-0024 | |
Not Available |
Full Name | Allcare Health Clinic |
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Speciality | Clinic/Center |
Location | 2220 Atlanta Rd Se, Smyrna, Georgia |
Authorized Official Name and Position | Jean Bastia (NURSE PRACTITIONER) |
Authorized Official Contact | 6784254030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Allcare Health Clinic 4387 Laurian Dr Nw Kennesaw GA 30144-5147 Ph: (678) 425-4030 | Allcare Health Clinic 2220 Atlanta Rd Se Smyrna GA 30080-1583 Ph: (770) 970-0024 |
NPI Number | 1053812032 |
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Provider Enumeration Date | 02/23/2018 |
Last Update Date | 02/23/2018 |
Medicare PECOS PAC ID | 4880944958 |
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Medicare Enrollment ID | O20180911002581 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053812032 | NPI | - | NPPES |
202I508719 | Medicaid | GA | |
202I508719 | Other | GA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jean W. Bastia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932561164 PECOS PAC ID: 2264731702 Enrollment ID: I20160607001094 |
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