| Metro Atlanta Diagnostics Llc | |
|
4535 Winters Chapel Rd Atlanta GA 30360-2705 | |
| (770) 285-7246 | |
| (770) 999-0809 |
| Full Name | Metro Atlanta Diagnostics Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4535 Winters Chapel Rd, Atlanta, Georgia |
| Authorized Official Name and Position | Matthew J Dunn (MEMBER) |
| Authorized Official Contact | 7702857246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Atlanta Diagnostics Llc 4535 Winters Chapel Rd Atlanta GA 30360-2705 Ph: (770) 285-7246 | Metro Atlanta Diagnostics Llc 4535 Winters Chapel Rd Atlanta GA 30360-2705 Ph: (770) 285-7246 |
| NPI Number | 1598194805 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 12/12/2019 |
| Medicare PECOS PAC ID | 5193953719 |
|---|---|
| Medicare Enrollment ID | O20140106000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598194805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark L Daniel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447375506 PECOS PAC ID: 5991769606 Enrollment ID: I20041112000753 |
| Provider Name | Frank J Cook |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285744722 PECOS PAC ID: 0547276065 Enrollment ID: I20060221000636 |
| Provider Name | Matthew M Diduro |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376514638 PECOS PAC ID: 9032146394 Enrollment ID: I20110121000754 |
| Provider Name | Natividad Jesusa B Guevarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447518956 PECOS PAC ID: 4486818101 Enrollment ID: I20120611000320 |
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