Goga Vukotic, Md Pc | |
11050 Crabapple Rd Bldg. A Ste 104-b Roswell GA 30075-2489 | |
(770) 645-0017 | |
(770) 645-0024 |
Full Name | Goga Vukotic, Md Pc |
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Speciality | Internal Medicine |
Location | 11050 Crabapple Rd, Roswell, Georgia |
Authorized Official Name and Position | Ognjenka Goga Brkic-vukotic (PHYSICIAN) |
Authorized Official Contact | 7706450017 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Goga Vukotic, Md Pc 11050 Crabapple Rd Bldg. A Ste 104-b Roswell GA 30075-2489 Ph: (770) 645-0017 | Goga Vukotic, Md Pc 11050 Crabapple Rd Bldg. A Ste 104-b Roswell GA 30075-2489 Ph: (770) 645-0017 |
NPI Number | 1952580177 |
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Provider Enumeration Date | 10/25/2007 |
Last Update Date | 07/28/2010 |
Medicare PECOS PAC ID | 4789671595 |
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Medicare Enrollment ID | O20040426000992 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952580177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 047576 (Georgia) | Primary |
Provider Name | Keela K Weeks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831315431 PECOS PAC ID: 3577641117 Enrollment ID: I20080422000613 |
Provider Name | Ognjenka Goga Brkic Vukotic |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023067147 PECOS PAC ID: 2365584067 Enrollment ID: I20100812000561 |
Provider Name | George Kanes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124012554 PECOS PAC ID: 0941487904 Enrollment ID: I20110601000084 |
Provider Name | Farah Mubarak Ali |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962799734 PECOS PAC ID: 4183853021 Enrollment ID: I20150107000586 |
Provider Name | Monique Rosser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730786047 PECOS PAC ID: 3779995907 Enrollment ID: I20201212000177 |
Provider Name | Gabriela Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750169504 PECOS PAC ID: 4284081589 Enrollment ID: I20231108000915 |
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