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1805 Herrington Rd Bldg# 2 Lawrenceville GA 30043-7987 | |
(770) 822-4410 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 1805 Herrington Rd, Lawrenceville, Georgia |
Authorized Official Name and Position | Amita S Parikh (PRESIDENT) |
Authorized Official Contact | 7708224410 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3215 Sugarloaf Club Dr Duluth GA 30097-3709 Ph: (770) 822-4410 | 1805 Herrington Rd Bldg# 2 Lawrenceville GA 30043-7987 Ph: (770) 822-4410 |
NPI Number | 1205372877 |
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Provider Enumeration Date | 01/06/2017 |
Last Update Date | 01/06/2017 |
Medicare PECOS PAC ID | 6204112865 |
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Medicare Enrollment ID | O20170413001496 |
Identifier | Type | State | Issuer |
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1205372877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 44565 (Georgia) | Primary |
Provider Name | Amita S Parikh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164561817 PECOS PAC ID: 9133224892 Enrollment ID: I20170424000464 |
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