| Mercy Healthcare, Inc | |
|
945 Linsley Way Stone Mountain GA 30087-6083 | |
| (404) 933-8501 | |
| Not Available |
| Full Name | Mercy Healthcare, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 945 Linsley Way, Stone Mountain, Georgia |
| Authorized Official Name and Position | Anishua M Roberts (BILLING MANAGER) |
| Authorized Official Contact | 4049338501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Healthcare, Inc 945 Linsley Way Stone Mountain GA 30087-6083 Ph: () - | Mercy Healthcare, Inc 945 Linsley Way Stone Mountain GA 30087-6083 Ph: (404) 933-8501 |
| NPI Number | 1093197824 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 06/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093197824 | NPI | - | NPPES |
| 000891514B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 049349 (Georgia) | Primary |
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