| Grace Medical Practice Ltd | |
|
1136 Cleveland Ave Ste 309 East Point GA 30344-3618 | |
| (404) 763-1240 | |
| (404) 393-6524 |
| Full Name | Grace Medical Practice Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 1136 Cleveland Ave Ste 309, East Point, Georgia |
| Authorized Official Name and Position | Fidelia O Osinubi (CEO) |
| Authorized Official Contact | 4048610291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Medical Practice Ltd Po Box 20156 Atlanta GA 30325-0156 Ph: (404) 861-0291 | Grace Medical Practice Ltd 1136 Cleveland Ave Ste 309 East Point GA 30344-3618 Ph: (404) 763-1240 |
| NPI Number | 1396070744 |
|---|---|
| Provider Enumeration Date | 10/02/2009 |
| Last Update Date | 10/02/2009 |
| Medicare PECOS PAC ID | 9739229006 |
|---|---|
| Medicare Enrollment ID | O20091217000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396070744 | NPI | - | NPPES |
| 778620923A | Medicaid | GA | |
| 06/11/1956 | Other | GA | BIRTH DATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 001305 (Georgia) | Primary |
| Provider Name | Fidelia O Osinubi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013194661 PECOS PAC ID: 8820157712 Enrollment ID: I20081111000812 |
Strong Healthcare And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1711 Washington Ave, East Point, GA 30344 Phone: 404-835-2891 Fax: 404-835-2899 | |
East Point Primary Care Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Cleveland Ave, Suite 2-d, East Point, GA 30344 Phone: 404-684-7111 Fax: 404-684-7112 | |
Port-a-wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1670 Washington Ave, East Point, GA 30344 Phone: 678-705-1691 Fax: 855-289-7475 | |
South Atlanta Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1029 Cleveland Ave, East Point, GA 30344 Phone: 404-768-4626 Fax: 404-768-4631 | |
Yssa Saad Dine M D P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1136 Cleveland Ave, Ste#209, East Point, GA 30344 Phone: 404-762-8211 Fax: 404-762-9182 | |
Dean Hunter Medical Consultant Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2445 Lake Ter, East Point, GA 30344 Phone: 404-344-0051 | |
Sound Physicians Of Georgia Iii Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1170 Cleveland Ave, East Point, GA 30344 Phone: 404-466-1170 |