| Family Healthcare Of Atlanta P.c. | |
|
1935 Howell Mill Rd Nw Atlanta GA 30318-2513 | |
| (404) 355-2000 | |
| (404) 355-6522 |
| Full Name | Family Healthcare Of Atlanta P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1935 Howell Mill Rd Nw, Atlanta, Georgia |
| Authorized Official Name and Position | Mark Leslie Tanner (PRESIDENT) |
| Authorized Official Contact | 4043552000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Of Atlanta P.c. 1935 Howell Mill Rd Nw Atlanta GA 30318-2513 Ph: (404) 355-2000 | Family Healthcare Of Atlanta P.c. 1935 Howell Mill Rd Nw Atlanta GA 30318-2513 Ph: (404) 355-2000 |
| NPI Number | 1548452527 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 08/14/2007 |
| Medicare PECOS PAC ID | 5496915340 |
|---|---|
| Medicare Enrollment ID | O20120329000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548452527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark L Tanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033122445 PECOS PAC ID: 3577723428 Enrollment ID: I20120410000464 |
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