Abbycare | |
6380 Bells Ferry Rd Ste 107 Acworth GA 30102-5435 | |
(404) 835-0827 | |
Not Available |
Full Name | Abbycare |
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Speciality | General Practice |
Location | 6380 Bells Ferry Rd Ste 107, Acworth, Georgia |
Authorized Official Name and Position | Christina Abernathy (CHIEF OPERATIONS OFFICER) |
Authorized Official Contact | 4048350827 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Abbycare 6380 Bells Ferry Rd Ste 107 Acworth GA 30102-5435 Ph: (404) 835-0827 | Abbycare 6380 Bells Ferry Rd Ste 107 Acworth GA 30102-5435 Ph: (404) 835-0827 |
NPI Number | 1386260131 |
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Provider Enumeration Date | 06/17/2020 |
Last Update Date | 12/03/2020 |
Medicare PECOS PAC ID | 7214352483 |
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Medicare Enrollment ID | O20200805000549 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386260131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Joann Donaldson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144255399 PECOS PAC ID: 9032113626 Enrollment ID: I20060913000414 |
Provider Name | Scott C Mitchell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417963026 PECOS PAC ID: 9638274178 Enrollment ID: I20070412000103 |
Provider Name | Julia M Thorne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013227719 PECOS PAC ID: 1153518238 Enrollment ID: I20101215000679 |
Provider Name | Carroll G Odem |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144224957 PECOS PAC ID: 0143289249 Enrollment ID: I20180906003344 |
Provider Name | Wenqiu Jennings |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285240069 PECOS PAC ID: 0042601114 Enrollment ID: I20211228000766 |
Provider Name | Ajibola Babatunde |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1629573936 PECOS PAC ID: 0143570770 Enrollment ID: I20230522002010 |
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