| Internal Medicine Specialists | |
|
721 Wellness Way Suite 100 Lawrenceville GA 30045-3304 | |
| (770) 709-0900 | |
| Not Available |
| Full Name | Internal Medicine Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 721 Wellness Way, Lawrenceville, Georgia |
| Authorized Official Name and Position | Dora Caulfield (OFFICE MANAGER) |
| Authorized Official Contact | 7707090900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Specialists 721 Wellness Way Suite 100 Lawrenceville GA 30045-3304 Ph: (770) 709-0900 | Internal Medicine Specialists 721 Wellness Way Suite 100 Lawrenceville GA 30045-3304 Ph: (770) 709-0900 |
| NPI Number | 1679755029 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 11/28/2007 |
| Medicare PECOS PAC ID | 8426044058 |
|---|---|
| Medicare Enrollment ID | O20040421000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679755029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 034236 (Georgia) | Primary |
| Provider Name | Spencer I Rozin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023053329 PECOS PAC ID: 3072667955 Enrollment ID: I20090811000569 |
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