| Atembis Llc | |
|
333 N Dobson Rd Suite 15 Chandler AZ 85224 | |
| (480) 282-8336 | |
| (480) 282-8365 |
| Full Name | Atembis Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 333 N Dobson Rd, Chandler, Arizona |
| Authorized Official Name and Position | Andrew J Carroll (CEO) |
| Authorized Official Contact | 4802828336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atembis Llc 333 N Dobson Rd Suite 15 Chandler AZ 85224-4412 Ph: (480) 282-8336 | Atembis Llc 333 N Dobson Rd Suite 15 Chandler AZ 85224 Ph: (480) 282-8336 |
| NPI Number | 1144372699 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 07/05/2024 |
| Medicare PECOS PAC ID | 5092819912 |
|---|---|
| Medicare Enrollment ID | O20070403000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144372699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrew John Pham Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043214877 PECOS PAC ID: 5193623676 Enrollment ID: I20040130000609 |
| Provider Name | Imani N Williams Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841251253 PECOS PAC ID: 3072592021 Enrollment ID: I20040719001515 |
| Provider Name | Kaitlin Palmer Rice Christie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386281632 PECOS PAC ID: 3274968508 Enrollment ID: I20200115001051 |
| Provider Name | Shana M Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689976938 PECOS PAC ID: 5991114878 Enrollment ID: I20210505000975 |
| Provider Name | Sean Reed Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285123315 PECOS PAC ID: 4385097518 Enrollment ID: I20240124002058 |
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