| Atlanta Vanguard Medical Associates Pc | |
|
3692 Highlands Pkwy Se Smyrna GA 30082-5184 | |
| (678) 305-1700 | |
| (678) 766-1744 |
| Full Name | Atlanta Vanguard Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3692 Highlands Pkwy Se, Smyrna, Georgia |
| Authorized Official Name and Position | Michael T. Morris (OWNER) |
| Authorized Official Contact | 6783051700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Vanguard Medical Associates Pc 3692 Highlands Pkwy Se Smyrna GA 30082-5184 Ph: (678) 305-1700 | Atlanta Vanguard Medical Associates Pc 3692 Highlands Pkwy Se Smyrna GA 30082-5184 Ph: (678) 305-1700 |
| NPI Number | 1164773164 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 01/25/2013 |
| Medicare PECOS PAC ID | 7810148368 |
|---|---|
| Medicare Enrollment ID | O20121112000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164773164 | NPI | - | NPPES |
| 003129899A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (Georgia) | Primary |
| Provider Name | Michael T Morris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245409101 PECOS PAC ID: 2567534654 Enrollment ID: I20080707000486 |
| Provider Name | Faye Vargas Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194707398 PECOS PAC ID: 9830186279 Enrollment ID: I20090211000768 |
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