| Macley Family Practice And Walk In Clinic | |
|
2282 Meadow Church Rd Ste 200 Duluth GA 30097-5318 | |
| (678) 372-7880 | |
| Not Available |
| Full Name | Macley Family Practice And Walk In Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2282 Meadow Church Rd Ste 200, Duluth, Georgia |
| Authorized Official Name and Position | Clement O Ayanbadejo (FAMILY PHYSICIAN) |
| Authorized Official Contact | 6782572832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macley Family Practice And Walk In Clinic 2282 Meadow Church Rd Ste 200 Duluth GA 30097-5318 Ph: (678) 257-2832 | Macley Family Practice And Walk In Clinic 2282 Meadow Church Rd Ste 200 Duluth GA 30097-5318 Ph: (678) 372-7880 |
| NPI Number | 1811553084 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 12/31/2020 |
| Medicare PECOS PAC ID | 7315372810 |
|---|---|
| Medicare Enrollment ID | O20200125000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811553084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Clement O Ayanbadejo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154552990 PECOS PAC ID: 9931341070 Enrollment ID: I20130820000273 |
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