| Berkeley Family Medicine Associates, Llc | |
|
3800 Pleasant Hill Rd Suite 5 Duluth GA 30096-1428 | |
| (770) 622-2566 | |
| (770) 622-0828 |
| Full Name | Berkeley Family Medicine Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3800 Pleasant Hill Rd, Duluth, Georgia |
| Authorized Official Name and Position | Shirley Zhang Young (OFFICER) |
| Authorized Official Contact | 7706222566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkeley Family Medicine Associates, Llc 3800 Pleasant Hill Rd Suite 5 Duluth GA 30096-1428 Ph: (770) 622-2566 | Berkeley Family Medicine Associates, Llc 3800 Pleasant Hill Rd Suite 5 Duluth GA 30096-1428 Ph: (770) 622-2566 |
| NPI Number | 1346428372 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 09/17/2013 |
| Medicare PECOS PAC ID | 8628156155 |
|---|---|
| Medicare Enrollment ID | O20080423000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346428372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 060342 (Georgia) | Primary |
| Provider Name | Shirley Z Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558547968 PECOS PAC ID: 3072691500 Enrollment ID: I20080423000437 |
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