| Buckhead Internal Medicne | |
|
35 Collier Rd Nw Suite 150 Atlanta GA 30309-1613 | |
| (404) 355-1966 | |
| Not Available |
| Full Name | Buckhead Internal Medicne |
|---|---|
| Speciality | Internal Medicine |
| Location | 35 Collier Rd Nw, Atlanta, Georgia |
| Authorized Official Name and Position | Judy Marczak (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4043551966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckhead Internal Medicne 35 Collier Rd Nw Suite 150 Atlanta GA 30309-1613 Ph: (404) 355-1966 | Buckhead Internal Medicne 35 Collier Rd Nw Suite 150 Atlanta GA 30309-1613 Ph: (404) 355-1966 |
| NPI Number | 1689740029 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3870584899 |
|---|---|
| Medicare Enrollment ID | O20040519001056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689740029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Primary |
| Provider Name | Michelle Y Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245249333 PECOS PAC ID: 9931011665 Enrollment ID: I20031103000143 |
| Provider Name | Nan R Monahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184677031 PECOS PAC ID: 1254313281 Enrollment ID: I20040603000896 |
| Provider Name | Robert E Monahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710065701 PECOS PAC ID: 2961477039 Enrollment ID: I20040901000210 |
| Provider Name | Amy Y Mininberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740373893 PECOS PAC ID: 3274587290 Enrollment ID: I20050311000301 |
| Provider Name | Heather N Gibbons-doig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164609335 PECOS PAC ID: 1850468414 Enrollment ID: I20080923000669 |
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