Eugene Medical Clinic | |
248 E Crogan St Ste 2 Lawrenceville GA 30046-5069 | |
(305) 491-4135 | |
Not Available |
Full Name | Eugene Medical Clinic |
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Speciality | Clinic/Center |
Location | 248 E Crogan St Ste 2, Lawrenceville, Georgia |
Authorized Official Name and Position | Beatrixe Claude Eugene (PRESIDENT) |
Authorized Official Contact | 3054914135 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eugene Medical Clinic 248 E Crogan St Ste 2 Lawrenceville GA 30046-5069 Ph: () - | Eugene Medical Clinic 248 E Crogan St Ste 2 Lawrenceville GA 30046-5069 Ph: (305) 491-4135 |
NPI Number | 1407220775 |
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Provider Enumeration Date | 11/24/2015 |
Last Update Date | 11/24/2015 |
Medicare PECOS PAC ID | 1355644147 |
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Medicare Enrollment ID | O20160128001950 |
Identifier | Type | State | Issuer |
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1407220775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 58174 (Georgia) | Primary |
Provider Name | Beatrixe Eugene |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306899240 PECOS PAC ID: 8022070747 Enrollment ID: I20160128002145 |
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