Express Clinic | |
3350 Steve Reynolds Blvd Ste 408 Duluth GA 30096 | |
(678) 783-4449 | |
Not Available |
Full Name | Express Clinic |
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Speciality | General Practice |
Location | 3350 Steve Reynolds Blvd, Duluth, Georgia |
Authorized Official Name and Position | Solomon Matovu (CEO) |
Authorized Official Contact | 6787834927 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Express Clinic 3628 Satellite Blvd Unit 958236 Duluth GA 30095-0489 Ph: () - | Express Clinic 3350 Steve Reynolds Blvd Ste 408 Duluth GA 30096 Ph: (678) 783-4449 |
NPI Number | 1023768090 |
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Provider Enumeration Date | 03/24/2022 |
Last Update Date | 08/23/2023 |
Medicare PECOS PAC ID | 0547642688 |
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Medicare Enrollment ID | O20221018001516 |
Identifier | Type | State | Issuer |
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1023768090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Judith Namakula |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932467768 PECOS PAC ID: 5294980850 Enrollment ID: I20130305000178 |
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