| Modern Family Medicine, Inc | |
|
3460 Summit Ridge Pkwy Ste 304 Duluth GA 30096-1621 | |
| (770) 771-5115 | |
| (770) 771-5116 |
| Full Name | Modern Family Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3460 Summit Ridge Pkwy Ste 304, Duluth, Georgia |
| Authorized Official Name and Position | Priya Arcot-joshi (PHYSICIAN) |
| Authorized Official Contact | 7707715115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Family Medicine, Inc 3460 Summit Ridge Pkwy Ste 304 Duluth GA 30096-1621 Ph: (678) 667-3130 | Modern Family Medicine, Inc 3460 Summit Ridge Pkwy Ste 304 Duluth GA 30096-1621 Ph: (770) 771-5115 |
| NPI Number | 1033831151 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 07/28/2023 |
| Medicare PECOS PAC ID | 8022488808 |
|---|---|
| Medicare Enrollment ID | O20230112001944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033831151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Priya Arcot-joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871997866 PECOS PAC ID: 5799055372 Enrollment ID: I20200706000440 |
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