Med Globe, P.c. | |
1686 Roswell Rd Marietta GA 30062-3621 | |
(770) 933-9333 | |
(770) 579-9331 |
Full Name | Med Globe, P.c. |
---|---|
Speciality | Internal Medicine |
Location | 1686 Roswell Rd, Marietta, Georgia |
Authorized Official Name and Position | Lydia Elizabeth Pratt (OFFICE MANAGER) |
Authorized Official Contact | 7709339333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Med Globe, P.c. 1686 Roswell Rd Marietta GA 30062-3621 Ph: (770) 933-9333 | Med Globe, P.c. 1686 Roswell Rd Marietta GA 30062-3621 Ph: (770) 933-9333 |
NPI Number | 1689736407 |
---|---|
Provider Enumeration Date | 12/15/2006 |
Last Update Date | 12/18/2009 |
Medicare PECOS PAC ID | 3678657756 |
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Medicare Enrollment ID | O20080227000806 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689736407 | NPI | - | NPPES |
000821675A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mandana Rezaei Amiri |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518923879 PECOS PAC ID: 8628057940 Enrollment ID: I20040719001079 |
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