| Mariposa Medical Associates, Llc | |
|
767 Concord Rd Se Smyrna GA 30082-2625 | |
| (678) 305-1700 | |
| Not Available |
| Full Name | Mariposa Medical Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 767 Concord Rd Se, Smyrna, Georgia |
| Authorized Official Name and Position | Lachunna Bryant (MANAGER) |
| Authorized Official Contact | 7706760831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariposa Medical Associates, Llc 767 Concord Rd Se Smyrna GA 30082-2625 Ph: (678) 305-1700 | Mariposa Medical Associates, Llc 767 Concord Rd Se Smyrna GA 30082-2625 Ph: (678) 305-1700 |
| NPI Number | 1073111977 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/13/2020 |
| Medicare PECOS PAC ID | 1456751494 |
|---|---|
| Medicare Enrollment ID | O20210614002422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073111977 | NPI | - | NPPES |
| 1194707398 | Other | GA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Faye Vargas Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194707398 PECOS PAC ID: 9830186279 Enrollment ID: I20090211000768 |
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