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3681 Auditorium Way College Park GA 30337-2601 | |
(404) 766-5361 | |
(404) 766-5362 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3681 Auditorium Way, College Park, Georgia |
Authorized Official Name and Position | Chandi P Sharma (PRESIDENT) |
Authorized Official Contact | 4047665361 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3681 Auditorium Way College Park GA 30337-2601 Ph: (404) 766-5361 | 3681 Auditorium Way College Park GA 30337-2601 Ph: (404) 766-5361 |
NPI Number | 1811152606 |
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Provider Enumeration Date | 07/22/2008 |
Last Update Date | 07/22/2008 |
Medicare PECOS PAC ID | 8820163371 |
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Medicare Enrollment ID | O20080818000457 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811152606 | NPI | - | NPPES |
000143954E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 017736 (Georgia) | Primary |
Provider Name | Chandi P Sharma |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275693616 PECOS PAC ID: 6103990312 Enrollment ID: I20080806000633 |
Provider Name | Chetan Sharma |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871763011 PECOS PAC ID: 7113195082 Enrollment ID: I20110720000133 |
Family Medical Center (holding) P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5615 Old National Hwy, College Park, GA 30349 Phone: 770-997-2900 | |
Family Medical Center P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5615 Old National Hwy Ste D, College Park, GA 30349 Phone: 770-997-2900 Fax: 404-767-7053 | |
Healing Mind And Body Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Godby Rd Ste B200, College Park, GA 30349 Phone: 678-764-8919 | |
Patriot Healthcare Of Georgia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 Phone: 404-435-6029 | |