| Medic One Llc | |
|
2621 Sandy Plains Rd Suite 304 Marietta GA 30066-4267 | |
| (770) 894-3167 | |
| (770) 575-0879 |
| Full Name | Medic One Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2621 Sandy Plains Rd, Marietta, Georgia |
| Authorized Official Name and Position | Adesupo Oshiyoye (TREASURER) |
| Authorized Official Contact | 7708943167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medic One Llc Po Box 670508 Marietta GA 30066-0126 Ph: (770) 894-3167 | Medic One Llc 2621 Sandy Plains Rd Suite 304 Marietta GA 30066-4267 Ph: (770) 894-3167 |
| NPI Number | 1255690475 |
|---|---|
| Provider Enumeration Date | 05/08/2012 |
| Last Update Date | 05/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255690475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 51736 (Georgia) | Primary |
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