Atlanta Plus Primary Care Llc | |
2121 Salem Rd Se Conyers GA 30013-1823 | |
(470) 826-4051 | |
(470) 826-4052 |
Full Name | Atlanta Plus Primary Care Llc |
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Speciality | Internal Medicine |
Location | 2121 Salem Rd Se, Conyers, Georgia |
Authorized Official Name and Position | Satjajeet Patel (MD) |
Authorized Official Contact | 4706685035 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atlanta Plus Primary Care Llc 2121 Salem Rd Se Conyers GA 30013-1823 Ph: (470) 826-4051 | Atlanta Plus Primary Care Llc 2121 Salem Rd Se Conyers GA 30013-1823 Ph: (470) 826-4051 |
NPI Number | 1265144414 |
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Provider Enumeration Date | 12/20/2022 |
Last Update Date | 05/01/2024 |
Medicare PECOS PAC ID | 3072984111 |
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Medicare Enrollment ID | O20230127000277 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265144414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Satyajeet S Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164495107 PECOS PAC ID: 7315036597 Enrollment ID: I20071211000586 |
Provider Name | Nimisha S Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811126576 PECOS PAC ID: 4183875438 Enrollment ID: I20130716000155 |
Provider Name | Marlyn Wallace |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144790973 PECOS PAC ID: 6608102884 Enrollment ID: I20190725001697 |
Provider Name | Savonia Grant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427558295 PECOS PAC ID: 9436485588 Enrollment ID: I20190726000422 |
Provider Name | Nicola Bridgette Mitchell-harvey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306440375 PECOS PAC ID: 6002229432 Enrollment ID: I20210104001515 |
Provider Name | Kodjo Vivien Aziamadji |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134703705 PECOS PAC ID: 9032500640 Enrollment ID: I20211215001031 |
Provider Name | Tycia Pope |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568166460 PECOS PAC ID: 1153782206 Enrollment ID: I20230804002625 |
Provider Name | Kimberly S Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912463456 PECOS PAC ID: 0345602330 Enrollment ID: I20230808000889 |
Provider Name | Fatu Secka |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578259701 PECOS PAC ID: 5193187953 Enrollment ID: I20230811000532 |
Provider Name | Myra Ronette Atchison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992583801 PECOS PAC ID: 1254782048 Enrollment ID: I20240105001315 |
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