| Cherokee Internal Medicine, P.c. | |
|
1192 Buckhead Xing Suite C Woodstock GA 30189-4254 | |
| (678) 238-0301 | |
| (678) 238-0323 |
| Full Name | Cherokee Internal Medicine, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1192 Buckhead Xing, Woodstock, Georgia |
| Authorized Official Name and Position | Maho Akamatsu (PRESIDENT) |
| Authorized Official Contact | 6782380301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherokee Internal Medicine, P.c. 1192 Buckhead Xing Suite C Woodstock GA 30189-4254 Ph: (678) 238-0301 | Cherokee Internal Medicine, P.c. 1192 Buckhead Xing Suite C Woodstock GA 30189-4254 Ph: (678) 238-0301 |
| NPI Number | 1790016624 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 08/18/2023 |
| Medicare PECOS PAC ID | 8224164710 |
|---|---|
| Medicare Enrollment ID | O20100414000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790016624 | NPI | - | NPPES |
| 3704483 | Other | GA | STATE BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Maho Akamatsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811942394 PECOS PAC ID: 0547246373 Enrollment ID: I20040624000740 |
| Provider Name | Courtney B Maniatis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780881862 PECOS PAC ID: 1759437023 Enrollment ID: I20101006000786 |
| Provider Name | Gina M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821363979 PECOS PAC ID: 7012171929 Enrollment ID: I20120605000488 |
| Provider Name | Marisa K Blake-raut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528532272 PECOS PAC ID: 0648691113 Enrollment ID: I20200609002109 |
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