| Fulton County Public Health At 10 Park Place | |
|
10 Park Place South Se Fl 5 Atlanta GA 30303-2913 | |
| (770) 520-7500 | |
| (404) 612-2285 |
| Full Name | Fulton County Public Health At 10 Park Place |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Park Place South Se Fl 5, Atlanta, Georgia |
| Authorized Official Name and Position | Lynn Paxton (DISTRICT HEALTH DIRECTOR) |
| Authorized Official Contact | 7705207537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton County Public Health At 10 Park Place 10 Park Place South Se Fl 4 Atlanta GA 30303-2913 Ph: (770) 520-7500 | Fulton County Public Health At 10 Park Place 10 Park Place South Se Fl 5 Atlanta GA 30303-2913 Ph: (770) 520-7500 |
| NPI Number | 1427571660 |
|---|---|
| Provider Enumeration Date | 07/19/2017 |
| Last Update Date | 09/16/2024 |
| Medicare PECOS PAC ID | 1355692617 |
|---|---|
| Medicare Enrollment ID | O20180925003769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427571660 | NPI | - | NPPES |
| 000457795F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
| Provider Name | Hogai G Nassery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598860298 PECOS PAC ID: 2365541976 Enrollment ID: I20070622000273 |
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