| Apex Medical Center Pc | |
|
1930 Powder Springs Rd Sw Suite 1120 Marietta GA 30064-4324 | |
| (770) 427-7800 | |
| (770) 427-6565 |
| Full Name | Apex Medical Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1930 Powder Springs Rd Sw, Marietta, Georgia |
| Authorized Official Name and Position | Paula Bain (OFFICE MANAGER) |
| Authorized Official Contact | 7704277800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apex Medical Center Pc 1930 Powder Springs Rd Sw Suite 1120 Marietta GA 30064-4324 Ph: (770) 427-7800 | Apex Medical Center Pc 1930 Powder Springs Rd Sw Suite 1120 Marietta GA 30064-4324 Ph: (770) 427-7800 |
| NPI Number | 1982883377 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 03/12/2009 |
| Medicare PECOS PAC ID | 6608840319 |
|---|---|
| Medicare Enrollment ID | O20040819001151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982883377 | NPI | - | NPPES |
| 00860021D | Medicaid | GA | |
| GRP6567 | Other | GA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 046826 (Georgia) | Primary |
| Provider Name | Mckinley Theadore Bain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235145061 PECOS PAC ID: 4587638291 Enrollment ID: I20040827000384 |
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