Medcura Health, Inc. | |
4112 E Ponce De Leon Ave Clarkston GA 30021-8106 | |
(404) 298-8998 | |
Not Available |
Full Name | Medcura Health, Inc. |
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Speciality | Clinic/Center |
Location | 4112 E Ponce De Leon Ave, Clarkston, Georgia |
Authorized Official Name and Position | Jeff Taylor (CEO) |
Authorized Official Contact | 4042983250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medcura Health, Inc. 5582 Memorial Dr Stone Mountain GA 30083-3215 Ph: (404) 298-8998 | Medcura Health, Inc. 4112 E Ponce De Leon Ave Clarkston GA 30021-8106 Ph: (404) 298-8998 |
NPI Number | 1770286726 |
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Provider Enumeration Date | 03/27/2023 |
Last Update Date | 03/27/2023 |
Medicare PECOS PAC ID | 2961443643 |
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Medicare Enrollment ID | O20230530002454 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770286726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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