| Anytime Md Internal Medicine And Physical Therapy Llc | |
|
4898 Austell Rd Ste B Austell GA 30106-2055 | |
| (770) 675-6149 | |
| (770) 635-8017 |
| Full Name | Anytime Md Internal Medicine And Physical Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4898 Austell Rd Ste B, Austell, Georgia |
| Authorized Official Name and Position | Paul Edjua (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 5308485863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anytime Md Internal Medicine And Physical Therapy Llc 4898 Austell Rd Ste B Austell GA 30106-2055 Ph: (770) 675-6149 | Anytime Md Internal Medicine And Physical Therapy Llc 4898 Austell Rd Ste B Austell GA 30106-2055 Ph: (770) 675-6149 |
| NPI Number | 1407544216 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 05/25/2023 |
| Medicare PECOS PAC ID | 9436592649 |
|---|---|
| Medicare Enrollment ID | O20240205002558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407544216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Paul A Edjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386894228 PECOS PAC ID: 7214083914 Enrollment ID: I20240205002732 |
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