| Linduc Medical Clinic | |
|
2680 Lawrenceville Hwy Ste 202 Decatur GA 30033-2526 | |
| (470) 250-1418 | |
| (770) 674-7626 |
| Full Name | Linduc Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 2680 Lawrenceville Hwy Ste 202, Decatur, Georgia |
| Authorized Official Name and Position | Uchenna Peter Kalu (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4702501418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linduc Medical Clinic 2680 Lawrenceville Hwy Ste 202 Decatur GA 30033-2526 Ph: (470) 250-1418 | Linduc Medical Clinic 2680 Lawrenceville Hwy Ste 202 Decatur GA 30033-2526 Ph: (470) 250-1418 |
| NPI Number | 1609162965 |
|---|---|
| Provider Enumeration Date | 06/24/2011 |
| Last Update Date | 03/11/2019 |
| Medicare PECOS PAC ID | 6305014614 |
|---|---|
| Medicare Enrollment ID | O20110712000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609162965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 062127 (Georgia) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 062127 (Georgia) | Secondary |
| Provider Name | Uchenna Peter Kalu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841312907 PECOS PAC ID: 0042311490 Enrollment ID: I20090909000204 |
| Provider Name | Eberechi L Kalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700290376 PECOS PAC ID: 0749458065 Enrollment ID: I20150818003687 |
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