| Mim Urgent Care & Family Practice Inc | |
|
5380 Peachtree Industrial Blvd Ste 150 Norcross GA 30071-1565 | |
| (678) 515-8154 | |
| Not Available |
| Full Name | Mim Urgent Care & Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5380 Peachtree Industrial Blvd Ste 150, Norcross, Georgia |
| Authorized Official Name and Position | Hannah Akosuah Quarshie (OWNER) |
| Authorized Official Contact | 6785158154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mim Urgent Care & Family Practice Inc 5380 Peachtree Industrial Blvd Ste 150 Norcross GA 30071-1565 Ph: (678) 515-8154 | Mim Urgent Care & Family Practice Inc 5380 Peachtree Industrial Blvd Ste 150 Norcross GA 30071-1565 Ph: (678) 515-8154 |
| NPI Number | 1366159873 |
|---|---|
| Provider Enumeration Date | 11/03/2022 |
| Last Update Date | 11/03/2022 |
| Medicare PECOS PAC ID | 6507210697 |
|---|---|
| Medicare Enrollment ID | O20230922002143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366159873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gregory S. Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861582934 PECOS PAC ID: 5193983716 Enrollment ID: I20120605000284 |
| Provider Name | Hannah Akosua Quarshie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598222895 PECOS PAC ID: 0345578373 Enrollment ID: I20190828003152 |
| Provider Name | Cindy Denise Oden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124597646 PECOS PAC ID: 5294158796 Enrollment ID: I20200630002643 |
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