Centerwell Senior Primary Care-stone Mountain | |
5244 Memorial Dr Ste 1101 Stone Mountain GA 30083-3157 | |
(404) 905-0100 | |
(877) 890-2406 |
Full Name | Centerwell Senior Primary Care-stone Mountain |
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Speciality | Internal Medicine |
Location | 5244 Memorial Dr Ste 1101, Stone Mountain, Georgia |
Authorized Official Name and Position | Angie Martinez (CREDENTIALING SUPERVISOR) |
Authorized Official Contact | 4074477120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centerwell Senior Primary Care-stone Mountain 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care-stone Mountain 5244 Memorial Dr Ste 1101 Stone Mountain GA 30083-3157 Ph: (404) 905-0100 |
NPI Number | 1760059331 |
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Provider Enumeration Date | 06/10/2021 |
Last Update Date | 07/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760059331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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