| Medcare Studios Llc | |
|
940 Gainesville Hwy Ste 200 Buford GA 30518-1831 | |
| (404) 694-4497 | |
| (844) 946-0844 |
| Full Name | Medcare Studios Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 940 Gainesville Hwy Ste 200, Buford, Georgia |
| Authorized Official Name and Position | Sophia Jackson (CEO) |
| Authorized Official Contact | 4046944497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcare Studios Llc 4249 Brentwood Dr Buford GA 30518-9008 Ph: (404) 694-4497 | Medcare Studios Llc 940 Gainesville Hwy Ste 200 Buford GA 30518-1831 Ph: (404) 694-4497 |
| NPI Number | 1588430789 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 8123463049 |
|---|---|
| Medicare Enrollment ID | O20240301002429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588430789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sophia Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093879769 PECOS PAC ID: 3870570146 Enrollment ID: I20040706000098 |
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