Atlanta Multi Specialty Group | |
2006 Martin Luther King Jr. Dr. Suite 206 Atlanta GA 30311-1636 | |
(404) 696-1944 | |
(404) 696-5705 |
Full Name | Atlanta Multi Specialty Group |
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Speciality | Internal Medicine |
Location | 2006 Martin Luther King Jr. Dr., Atlanta, Georgia |
Authorized Official Name and Position | Towonner Ann Brown (MEDICAL BILLER) |
Authorized Official Contact | 4046961944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Atlanta Multi Specialty Group 2006 Martin Luther King Jr. Dr. Suite 206 Atlanta GA 30311-1636 Ph: (404) 696-1944 | Atlanta Multi Specialty Group 2006 Martin Luther King Jr. Dr. Suite 206 Atlanta GA 30311-1636 Ph: (404) 696-1944 |
NPI Number | 1144327461 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4688656747 |
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Medicare Enrollment ID | O20040602001302 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144327461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
Provider Name | John W Ross |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407955842 PECOS PAC ID: 5991766503 Enrollment ID: I20050531000892 |
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