| Hospital In Your Home | |
|
3755 Main St Unit 101 College Park GA 30337-3543 | |
| (844) 690-4494 | |
| (877) 716-7831 |
| Full Name | Hospital In Your Home |
|---|---|
| Speciality | Internal Medicine |
| Location | 3755 Main St Unit 101, College Park, Georgia |
| Authorized Official Name and Position | Novella Tascoe (COO) |
| Authorized Official Contact | 4048400747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital In Your Home 3755 Main St Unit 101 College Park GA 30337-3543 Ph: (844) 960-4494 | Hospital In Your Home 3755 Main St Unit 101 College Park GA 30337-3543 Ph: (844) 690-4494 |
| NPI Number | 1073299574 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 11/21/2023 |
| Medicare PECOS PAC ID | 9537520069 |
|---|---|
| Medicare Enrollment ID | O20230801001612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073299574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Allyson Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184288730 PECOS PAC ID: 3375961220 Enrollment ID: I20200909003499 |
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