| Atlanta Digestive Center | |
|
2675 N Decatur Rd Suite 305 Decatur GA 30033-6131 | |
| (404) 299-8320 | |
| Not Available |
| Full Name | Atlanta Digestive Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2675 N Decatur Rd, Decatur, Georgia |
| Authorized Official Name and Position | Jeffrie Kamean (PHYSICIAN) |
| Authorized Official Contact | 4042998320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Digestive Center Po Box 88587 Dunwoody GA 30356-8587 Ph: () - | Atlanta Digestive Center 2675 N Decatur Rd Suite 305 Decatur GA 30033-6131 Ph: (404) 299-8320 |
| NPI Number | 1558634410 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 02/22/2012 |
| Medicare PECOS PAC ID | 5799946760 |
|---|---|
| Medicare Enrollment ID | O20120418000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558634410 | NPI | - | NPPES |
| 112542004 | Other | GA | TRICARE |
| 00676035F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Jeffrie L Kamean |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588661623 PECOS PAC ID: 3476446352 Enrollment ID: I20040204000817 |
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