Incaremd | |
1325 Satellite Blvd Nw Suwanee GA 30024-4651 | |
(866) 397-2104 | |
Not Available |
Full Name | Incaremd |
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Speciality | General Practice |
Location | 1325 Satellite Blvd Nw, Suwanee, Georgia |
Authorized Official Name and Position | Vinson M Disanto (MEDICAL DIRECTOR) |
Authorized Official Contact | 8663972104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Incaremd 1325 Satellite Blvd Nw Suwanee GA 30024-4651 Ph: (866) 397-2104 | Incaremd 1325 Satellite Blvd Nw Suwanee GA 30024-4651 Ph: (866) 397-2104 |
NPI Number | 1194109686 |
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Provider Enumeration Date | 07/14/2015 |
Last Update Date | 07/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194109686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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