| Care At Home Medical Practice Pc | |
|
1800 Howell Mill Rd Nw Ste 275 Atlanta GA 30318-3098 | |
| (716) 882-0366 | |
| Not Available |
| Full Name | Care At Home Medical Practice Pc |
|---|---|
| Speciality | General Practice |
| Location | 1800 Howell Mill Rd Nw Ste 275, Atlanta, Georgia |
| Authorized Official Name and Position | Rodney Armstead (CEO) |
| Authorized Official Contact | 3104187250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care At Home Medical Practice Pc 564 Niagara St Bldg 2 Buffalo NY 14201-1108 Ph: (716) 324-5026 | Care At Home Medical Practice Pc 1800 Howell Mill Rd Nw Ste 275 Atlanta GA 30318-3098 Ph: (716) 882-0366 |
| NPI Number | 1699552836 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 09/20/2023 |
| Medicare PECOS PAC ID | 5092164533 |
|---|---|
| Medicare Enrollment ID | O20231222000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699552836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Candace M Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871865113 PECOS PAC ID: 5597901470 Enrollment ID: I20130419000241 |
| Provider Name | Rodney Armstead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912258575 PECOS PAC ID: 7315330131 Enrollment ID: I20231222000645 |
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