| Longevity Clinical Ltc Associates Of Georgia, Pc | |
|
1040 Crown Pointe Pkwy Ste 600 Atlanta GA 30338-4741 | |
| (561) 815-2427 | |
| Not Available |
| Full Name | Longevity Clinical Ltc Associates Of Georgia, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1040 Crown Pointe Pkwy Ste 600, Atlanta, Georgia |
| Authorized Official Name and Position | Diane L Vincur (LWC PRACTICE MANAGER) |
| Authorized Official Contact | 5618152427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Clinical Ltc Associates Of Georgia, Pc 11780 Us Highway 1 Ste N107 North Palm Beach FL 33408-3007 Ph: () - | Longevity Clinical Ltc Associates Of Georgia, Pc 1040 Crown Pointe Pkwy Ste 600 Atlanta GA 30338-4741 Ph: (561) 815-2427 |
| NPI Number | 1699469668 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Medicare PECOS PAC ID | 1759745847 |
|---|---|
| Medicare Enrollment ID | O20230907002528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699469668 | NPI | - | NPPES |
| Provider Name | Eileen O'hara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831240712 PECOS PAC ID: 3072744721 Enrollment ID: I20210114001517 |
| Provider Name | Waseem Ghannam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306080510 PECOS PAC ID: 5092971085 Enrollment ID: I20230907002910 |
| Provider Name | Robin Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598912206 PECOS PAC ID: 1951696830 Enrollment ID: I20230912003635 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care - Mary Hall Freedom House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |
Cardiac Disease Specialists, Pc- Sheffield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |