| Internal Medicine Associates Of West Atlanta, P.c. | |
|
939 Bob Arnold Blvd Ste F Lithia Springs GA 30122-3258 | |
| (770) 739-2440 | |
| (770) 819-8808 |
| Full Name | Internal Medicine Associates Of West Atlanta, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 939 Bob Arnold Blvd, Lithia Springs, Georgia |
| Authorized Official Name and Position | Shannon Donell Nelson (OWNER/PRESIDENT) |
| Authorized Official Contact | 7707392440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of West Atlanta, P.c. 939 Bob Arnold Blvd Ste F Lithia Springs GA 30122-3258 Ph: (770) 739-2440 | Internal Medicine Associates Of West Atlanta, P.c. 939 Bob Arnold Blvd Ste F Lithia Springs GA 30122-3258 Ph: (770) 739-2440 |
| NPI Number | 1902183205 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 12/11/2016 |
| Medicare PECOS PAC ID | 7214102128 |
|---|---|
| Medicare Enrollment ID | O20111205000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902183205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 062400 (Georgia) | Primary |
| Provider Name | Shannon Donell Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669696829 PECOS PAC ID: 5890960702 Enrollment ID: I20111205000389 |
Practitoners Community Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Crestmark Dr Ste 200, Lithia Springs, GA 30122 Phone: 770-374-7062 | |
Atlanta West Primary Care Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 939 Thornton Road, Lithia Springs, GA 30122 Phone: 770-948-5400 Fax: 770-948-4930 | |
Physicians Care Centers Of Lithia Springs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Crestmark Dr, Suite 202, Lithia Springs, GA 30122 Phone: 678-398-8304 Fax: 678-398-8305 | |
Family First Healthcare P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 939 Thornton Rd, Lithia Springs, GA 30122 Phone: 770-739-1233 Fax: 770-948-4930 | |
West Cobb Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Crestmark Dr, Suite 202, Lithia Springs, GA 30122 Phone: 678-398-8301 Fax: 678-398-8305 | |
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