| Godel First Medical Clinic | |
|
1525 E Park Place Blvd Suite 300 Stone Mountain GA 30087-3453 | |
| (770) 879-7707 | |
| (770) 879-7708 |
| Full Name | Godel First Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1525 E Park Place Blvd, Stone Mountain, Georgia |
| Authorized Official Name and Position | Ellis Ifeanyichukwu Efobi (CEO) |
| Authorized Official Contact | 7708797707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Godel First Medical Clinic 1525 E Park Place Blvd Suite 300 Stone Mountain GA 30087-3453 Ph: (770) 879-7707 | Godel First Medical Clinic 1525 E Park Place Blvd Suite 300 Stone Mountain GA 30087-3453 Ph: (770) 879-7707 |
| NPI Number | 1558665653 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 12/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558665653 | NPI | - | NPPES |
| 594981959A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Gibraltar Biz, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5505 E Mountain St, Stone Mountain, GA 30083 Phone: 678-485-3308 | |
Salam Clinic Primary And Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5468 Memorial Dr Ste D, Stone Mountain, GA 30083 Phone: 404-963-2142 Fax: 404-963-2098 | |
Stone Mountain Family Practice, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087 Phone: 770-469-7000 Fax: 770-879-0436 | |
Elmore Alexander D.o.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 374 Osprey Pt, Stone Mountain, GA 30087 Phone: 678-371-2204 Fax: 678-805-0077 | |
Mercy Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 Linsley Way, Stone Mountain, GA 30087 Phone: 404-933-8501 | |
Hope Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Memorial Dr, Suite 110-112, Stone Mountain, GA 30083 Phone: 678-704-0306 Fax: 678-704-0706 | |
Rockbridge Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1192a Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-925-2010 Fax: 770-925-1665 |