| Family Healthcare Of Smyrna, P.c. | |
|
3969 S Cobb Dr Se Suite 201 Smyrna GA 30080-6358 | |
| (770) 438-2942 | |
| (770) 438-6560 |
| Full Name | Family Healthcare Of Smyrna, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3969 S Cobb Dr Se, Smyrna, Georgia |
| Authorized Official Name and Position | Madhu T. Vishwanath (PRESIDENT) |
| Authorized Official Contact | 7704382942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Of Smyrna, P.c. 300 Village Green Circle Suite 200 Smyrna GA 30080 Ph: (770) 384-0284 | Family Healthcare Of Smyrna, P.c. 3969 S Cobb Dr Se Suite 201 Smyrna GA 30080-6358 Ph: (770) 438-2942 |
| NPI Number | 1881899821 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 11/12/2010 |
| Medicare PECOS PAC ID | 1557456365 |
|---|---|
| Medicare Enrollment ID | O20071009000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881899821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 056499 (Georgia) | Primary |
| 208000000X | Pediatrics | 056499 (Georgia) | Secondary |
| Provider Name | Madhu Vishwanath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003919069 PECOS PAC ID: 6800801994 Enrollment ID: I20060210000192 |
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