| Health-e Medical Center | |
|
1462 Montreal Rd Ste 305 Tucker GA 30084-6924 | |
| (704) 264-6041 | |
| Not Available |
| Full Name | Health-e Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1462 Montreal Rd Ste 305, Tucker, Georgia |
| Authorized Official Name and Position | Akita Evans (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7042646041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health-e Medical Center 1466 Country Squire Dr Decatur GA 30033-2414 Ph: (770) 680-2949 | Health-e Medical Center 1462 Montreal Rd Ste 305 Tucker GA 30084-6924 Ph: (704) 264-6041 |
| NPI Number | 1982170817 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 3779817705 |
|---|---|
| Medicare Enrollment ID | O20190625004062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982170817 | NPI | - | NPPES |
| 003111402K | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Akita Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801007026 PECOS PAC ID: 2365605102 Enrollment ID: I20120515000451 |
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