| Value In Prevention Of Georgia, Llc | |
|
790 Church St Ne Ste 500 Marietta GA 30060-8957 | |
| (770) 874-9739 | |
| (770) 427-0180 |
| Full Name | Value In Prevention Of Georgia, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 790 Church St Ne Ste 500, Marietta, Georgia |
| Authorized Official Name and Position | Andrea Klemes (SOLE MEMBER) |
| Authorized Official Contact | 5619824300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Value In Prevention Of Georgia, Llc 4950 Communication Ave Suite 100 Boca Raton FL 33431-3307 Ph: (561) 982-4300 | Value In Prevention Of Georgia, Llc 790 Church St Ne Ste 500 Marietta GA 30060-8957 Ph: (770) 874-9739 |
| NPI Number | 1366804270 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 01/20/2023 |
| Medicare PECOS PAC ID | 1254625023 |
|---|---|
| Medicare Enrollment ID | O20160802003300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366804270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 034626 (Georgia) | Primary |
| Provider Name | Thomas Kirkland Garner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043373103 PECOS PAC ID: 8820126543 Enrollment ID: I20100517000331 |
| Provider Name | Robert Joel Ollins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073523148 PECOS PAC ID: 5193858660 Enrollment ID: I20100804000509 |
| Provider Name | Sundus Lodhi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770682825 PECOS PAC ID: 6305848573 Enrollment ID: I20101108000157 |
| Provider Name | Kirti Chavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417259243 PECOS PAC ID: 7517100233 Enrollment ID: I20130828000789 |
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