| Estate Clinics By Cmg | |
|
107 Upper Riverdale Rd Sw Riverdale GA 30274-2504 | |
| (770) 997-2160 | |
| Not Available |
| Full Name | Estate Clinics By Cmg |
|---|---|
| Speciality | Internal Medicine |
| Location | 107 Upper Riverdale Rd Sw, Riverdale, Georgia |
| Authorized Official Name and Position | Kaylene Martin (PRACTICE MANAGER) |
| Authorized Official Contact | 7709908212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Estate Clinics By Cmg 483 Upper Riverdale Rd Sw Ste F Riverdale GA 30274-2579 Ph: (770) 742-3883 | Estate Clinics By Cmg 107 Upper Riverdale Rd Sw Riverdale GA 30274-2504 Ph: (770) 997-2160 |
| NPI Number | 1043981517 |
|---|---|
| Provider Enumeration Date | 09/24/2021 |
| Last Update Date | 09/24/2021 |
| Medicare PECOS PAC ID | 8224422761 |
|---|---|
| Medicare Enrollment ID | O20220228001651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043981517 | NPI | - | NPPES |
| Provider Name | Victor E Okeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104092048 PECOS PAC ID: 4486828274 Enrollment ID: I20160712000381 |
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