| Medical Centre Of Conyers | |
|
1445 Old Mcdonough Hwy Se Ste E Conyers GA 30094-5977 | |
| (770) 922-9222 | |
| (770) 922-8794 |
| Full Name | Medical Centre Of Conyers |
|---|---|
| Speciality | Clinic/Center |
| Location | 1445 Old Mcdonough Hwy Se Ste E, Conyers, Georgia |
| Authorized Official Name and Position | Stephen F Felton (PRESIDENT) |
| Authorized Official Contact | 7709229222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Centre Of Conyers 1445 Old Mcdonough Hwy Se Ste E Conyers GA 30094-5977 Ph: (770) 922-9222 | Medical Centre Of Conyers 1445 Old Mcdonough Hwy Se Ste E Conyers GA 30094-5977 Ph: (770) 922-9222 |
| NPI Number | 1710946371 |
|---|---|
| Provider Enumeration Date | 03/22/2006 |
| Last Update Date | 12/22/2014 |
| Medicare PECOS PAC ID | 4688834591 |
|---|---|
| Medicare Enrollment ID | O20120330000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710946371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Stephen F Felton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841285327 PECOS PAC ID: 3476454463 Enrollment ID: I20040114000017 |
| Provider Name | Jason E Berendt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245266782 PECOS PAC ID: 6608858030 Enrollment ID: I20120416000110 |
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