| |
401 S Main St Suite C5 Alpharetta GA 30009-7960 | |
(678) 205-2437 | |
(678) 205-2439 |
Full Name | |
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Speciality | Pediatrics |
Location | 401 S Main St, Alpharetta, Georgia |
Authorized Official Name and Position | Maribel Labindalawa Angka Servera (PHYSICIAN) |
Authorized Official Contact | 6782052437 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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401 S Main St Suite C5 Alpharetta GA 30009-7960 Ph: (678) 205-2437 | 401 S Main St Suite C5 Alpharetta GA 30009-7960 Ph: (678) 205-2437 |
NPI Number | 1619155306 |
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Provider Enumeration Date | 02/05/2008 |
Last Update Date | 01/22/2009 |
Medicare PECOS PAC ID | 5496803272 |
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Medicare Enrollment ID | O20090505000276 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619155306 | NPI | - | NPPES |
000860054D | Medicaid | GA | |
000884804C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 047657 (Georgia) | Secondary |
208000000X | Pediatrics | 047388 (Georgia) | Primary |
Provider Name | Maribel L Angka-servera |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1932162989 PECOS PAC ID: 3870590094 Enrollment ID: I20070106000139 |
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