| Clairmont Medical Clinic Llc Belachew Yohannes A Ei Al Mbr | |
|
3490 Clairmont Rd Atlanta GA 30319 | |
| (404) 477-1218 | |
| Not Available |
| Full Name | Clairmont Medical Clinic Llc Belachew Yohannes A Ei Al Mbr |
|---|---|
| Speciality | Clinic/Center |
| Location | 3490 Clairmont Rd, Atlanta, Georgia |
| Authorized Official Name and Position | Yohannes A Belachew (OWNER) |
| Authorized Official Contact | 4044771218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clairmont Medical Clinic Llc Belachew Yohannes A Ei Al Mbr 3490 Clairmont Rd Ne Atlanta GA 30319-3758 Ph: (404) 477-1218 | Clairmont Medical Clinic Llc Belachew Yohannes A Ei Al Mbr 3490 Clairmont Rd Atlanta GA 30319 Ph: (404) 477-1218 |
| NPI Number | 1659552115 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7214904630 |
|---|---|
| Medicare Enrollment ID | O20040915000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659552115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Georgia) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (Georgia) | Primary |
| Provider Name | Yohannes A Belachew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871586693 PECOS PAC ID: 8022085448 Enrollment ID: I20040916000007 |
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