Concierge Lifestyle Medicine | |
4548 Salem Rd Covington GA 30016-4538 | |
(470) 486-8010 | |
Not Available |
Full Name | Concierge Lifestyle Medicine |
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Speciality | Clinic/Center |
Location | 4548 Salem Rd, Covington, Georgia |
Authorized Official Name and Position | Claudia Williams (OWNER/DIRECTOR) |
Authorized Official Contact | 7708665217 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Concierge Lifestyle Medicine 4548 Salem Rd Covington GA 30016-4538 Ph: (470) 486-8010 | Concierge Lifestyle Medicine 4548 Salem Rd Covington GA 30016-4538 Ph: (470) 486-8010 |
NPI Number | 1063136760 |
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Provider Enumeration Date | 09/27/2022 |
Last Update Date | 09/27/2022 |
Medicare PECOS PAC ID | 8628442860 |
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Medicare Enrollment ID | O20230329003027 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063136760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Claudia Cecile Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518023886 PECOS PAC ID: 7810303724 Enrollment ID: I20230329000823 |
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