Comprehensive Internal Medicine | |
3180 N Point Pkwy Ste 303 Alpharetta GA 30005-4522 | |
(678) 205-9004 | |
(678) 205-9005 |
Full Name | Comprehensive Internal Medicine |
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Speciality | Internal Medicine |
Location | 3180 N Point Pkwy Ste 303, Alpharetta, Georgia |
Authorized Official Name and Position | Jacqueline Tucci Pearson (OWNER) |
Authorized Official Contact | 6782059004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Internal Medicine 3180 N Point Pkwy Ste 303 Alpharetta GA 30005-4522 Ph: (678) 205-9004 | Comprehensive Internal Medicine 3180 N Point Pkwy Ste 303 Alpharetta GA 30005-4522 Ph: (678) 205-9004 |
NPI Number | 1154514339 |
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Provider Enumeration Date | 08/22/2007 |
Last Update Date | 01/08/2024 |
Medicare PECOS PAC ID | 1153344759 |
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Medicare Enrollment ID | O20060110000597 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154514339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Laurae M Carpenetti |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386619872 PECOS PAC ID: 5496706731 Enrollment ID: I20050203000900 |
Provider Name | Jacqueline T Tucci-pearson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699853937 PECOS PAC ID: 4486677549 Enrollment ID: I20060104000744 |
Provider Name | Arezou Fatemi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194803445 PECOS PAC ID: 6608899034 Enrollment ID: I20060111000583 |
Provider Name | Petula Y Gunn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659553774 PECOS PAC ID: 9436236999 Enrollment ID: I20080408000404 |
Provider Name | Sudeshna Nandi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487671319 PECOS PAC ID: 9335211499 Enrollment ID: I20080707000243 |
Provider Name | Ryan G Bozof |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548482789 PECOS PAC ID: 6800962994 Enrollment ID: I20080915000455 |
Provider Name | Carol A Hector |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356344477 PECOS PAC ID: 3971645656 Enrollment ID: I20100119000083 |
Provider Name | Michelle Marie Sanborn |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891933792 PECOS PAC ID: 9032101985 Enrollment ID: I20150916002958 |
Provider Name | Sumera Pervaiz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619382009 PECOS PAC ID: 2668762493 Enrollment ID: I20171018001449 |
Provider Name | Jeffrey Obiora |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023547460 PECOS PAC ID: 6800149204 Enrollment ID: I20210721000644 |
Provider Name | Raphael L Lopez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932177177 PECOS PAC ID: 5395818322 Enrollment ID: I20220414001259 |
Provider Name | Alexis Keeley Buelow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669166690 PECOS PAC ID: 5193186633 Enrollment ID: I20230801002035 |
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