| Alphacare Medical Center, Pc | |
|
1865 Lockeway Dr Suite 603 Alpharetta GA 30004-5928 | |
| (770) 752-8440 | |
| (770) 752-8990 |
| Full Name | Alphacare Medical Center, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1865 Lockeway Dr, Alpharetta, Georgia |
| Authorized Official Name and Position | Mariam Latif (M.D.) |
| Authorized Official Contact | 7707528440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alphacare Medical Center, Pc 1865 Lockeway Dr Ste 603 Alpharetta GA 30004-5938 Ph: (770) 752-8440 | Alphacare Medical Center, Pc 1865 Lockeway Dr Suite 603 Alpharetta GA 30004-5928 Ph: (770) 752-8440 |
| NPI Number | 1578530325 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 09/29/2010 |
| Medicare PECOS PAC ID | 7012929698 |
|---|---|
| Medicare Enrollment ID | O20060623000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578530325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mariam Latif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265409007 PECOS PAC ID: 6204886286 Enrollment ID: I20060623000020 |
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