| Crabapple Family Medicine | |
|
2700 Abbey Ct The Offices @ Crabapple Village Alpharetta GA 30004-6024 | |
| (770) 772-4233 | |
| (770) 772-4872 |
| Full Name | Crabapple Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2700 Abbey Ct, Alpharetta, Georgia |
| Authorized Official Name and Position | Amy Bolden (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7707724233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crabapple Family Medicine 2700 Abbey Ct The Offices @ Crabapple Village Alpharetta GA 30004-6024 Ph: (770) 772-4233 | Crabapple Family Medicine 2700 Abbey Ct The Offices @ Crabapple Village Alpharetta GA 30004-6024 Ph: (770) 772-4233 |
| NPI Number | 1518302140 |
|---|---|
| Provider Enumeration Date | 05/09/2013 |
| Last Update Date | 05/09/2013 |
| Medicare PECOS PAC ID | 4183867450 |
|---|---|
| Medicare Enrollment ID | O20130905000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518302140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 58737 (Georgia) | Primary |
| Provider Name | Madhavi Devaraju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699969949 PECOS PAC ID: 6901983063 Enrollment ID: I20080414000520 |
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