| Essential Medical Care | |
|
1897 Godby Road College Park GA 30349 | |
| (404) 300-9657 | |
| (404) 344-6991 |
| Full Name | Essential Medical Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1897 Godby Road, College Park, Georgia |
| Authorized Official Name and Position | Vickie Ann James (CEO/OWNER) |
| Authorized Official Contact | 4043009657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Medical Care 1897 Godby Road College Park GA 30349 Ph: (404) 300-9657 | Essential Medical Care 1897 Godby Road College Park GA 30349 Ph: (404) 300-9657 |
| NPI Number | 1285961011 |
|---|---|
| Provider Enumeration Date | 11/16/2009 |
| Last Update Date | 12/02/2009 |
| Medicare PECOS PAC ID | 1153461934 |
|---|---|
| Medicare Enrollment ID | O20091230000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285961011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | 031032 (Georgia) | Primary |
| Provider Name | Vickie A James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184706749 PECOS PAC ID: 6002875887 Enrollment ID: I20041007000289 |
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