Community Medical Care | |
3215 Mcclure Bridge Rd Duluth GA 30096-3223 | |
(770) 539-4187 | |
Not Available |
Full Name | Community Medical Care |
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Speciality | Internal Medicine |
Location | 3215 Mcclure Bridge Rd, Duluth, Georgia |
Authorized Official Name and Position | Maria Juliana Roca Martinez (PRESIDENT) |
Authorized Official Contact | 7705394187 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Medical Care 1856 Thompson Bridge Rd Ste 5 Gainesville GA 30501-1663 Ph: (770) 539-4187 | Community Medical Care 3215 Mcclure Bridge Rd Duluth GA 30096-3223 Ph: (770) 539-4187 |
NPI Number | 1740528785 |
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Provider Enumeration Date | 01/25/2013 |
Last Update Date | 04/14/2022 |
Medicare PECOS PAC ID | 6901101757 |
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Medicare Enrollment ID | O20160216002798 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740528785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 059750 (Georgia) | Primary |
Provider Name | Maria J Roca Martinez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205026648 PECOS PAC ID: 4587759246 Enrollment ID: I20070926001110 |
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