| Lanier Medcare,p.c. | |
|
4995 Lanier Islands Pkwy Ste A Buford GA 30518-1741 | |
| (678) 546-5059 | |
| (678) 546-5470 |
| Full Name | Lanier Medcare,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4995 Lanier Islands Pkwy Ste A, Buford, Georgia |
| Authorized Official Name and Position | Wendy A Armenti (OFFICE MANAGER) |
| Authorized Official Contact | 6785465059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lanier Medcare,p.c. 4995 Lanier Islands Pkwy Ste A Buford GA 30518-1741 Ph: (678) 546-5059 | Lanier Medcare,p.c. 4995 Lanier Islands Pkwy Ste A Buford GA 30518-1741 Ph: (678) 546-5059 |
| NPI Number | 1184813453 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 12/26/2023 |
| Medicare PECOS PAC ID | 7214103464 |
|---|---|
| Medicare Enrollment ID | O20120110000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184813453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 038059 (Georgia) | Primary |
| Provider Name | Song H Na |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851440127 PECOS PAC ID: 8022284272 Enrollment ID: I20120112000520 |
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