| Geriatric Medicine Of Atlanta | |
|
1019 Winding Ridge Ct Atlanta GA 30338-3949 | |
| (770) 888-2524 | |
| (770) 888-2510 |
| Full Name | Geriatric Medicine Of Atlanta |
|---|---|
| Speciality | Internal Medicine |
| Location | 1019 Winding Ridge Ct, Atlanta, Georgia |
| Authorized Official Name and Position | Mounir Darradji (PRESIDENT) |
| Authorized Official Contact | 7708882524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Medicine Of Atlanta Po Box 3253 Alpharetta GA 30023-3253 Ph: (770) 888-2524 | Geriatric Medicine Of Atlanta 1019 Winding Ridge Ct Atlanta GA 30338-3949 Ph: (770) 888-2524 |
| NPI Number | 1710168539 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 07/02/2008 |
| Medicare PECOS PAC ID | 6305854480 |
|---|---|
| Medicare Enrollment ID | O20060331000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710168539 | NPI | - | NPPES |
| 110228627 | Other | GA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 48998 (Georgia) | Primary |
| Provider Name | Mounir Darradji |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649382060 PECOS PAC ID: 2668480740 Enrollment ID: I20060331000087 |
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