| Mobile Healthcare Providers, Llc | |
|
3788 Oxford Cir Atlanta GA 30340-7700 | |
| (716) 472-5201 | |
| Not Available |
| Full Name | Mobile Healthcare Providers, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3788 Oxford Cir, Atlanta, Georgia |
| Authorized Official Name and Position | Stacey Lizette Simmons (FNP/OWNER) |
| Authorized Official Contact | 7164725207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Healthcare Providers, Llc 3788 Oxford Cir Atlanta GA 30340-7700 Ph: (716) 472-5201 | Mobile Healthcare Providers, Llc 3788 Oxford Cir Atlanta GA 30340-7700 Ph: (716) 472-5201 |
| NPI Number | 1528752383 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Medicare PECOS PAC ID | 2961840350 |
|---|---|
| Medicare Enrollment ID | O20240404000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528752383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Stacey Lizette Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770295594 PECOS PAC ID: 4688011083 Enrollment ID: I20240321000302 |
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