| Mountain Top Primary Care Medical Associates | |
|
200 Industrial Blvd Suite 114 Ellijay GA 30540-3722 | |
| (706) 636-4364 | |
| (706) 636-5264 |
| Full Name | Mountain Top Primary Care Medical Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Industrial Blvd, Ellijay, Georgia |
| Authorized Official Name and Position | Muhammad Mateen Akmal (PHYSICIAN) |
| Authorized Official Contact | 7066364364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Top Primary Care Medical Associates 200 Industrial Blvd Suite 114 Ellijay GA 30540-3722 Ph: (706) 636-4364 | Mountain Top Primary Care Medical Associates 200 Industrial Blvd Suite 114 Ellijay GA 30540-3722 Ph: (706) 636-4364 |
| NPI Number | 1053638205 |
|---|---|
| Provider Enumeration Date | 04/28/2010 |
| Last Update Date | 04/28/2010 |
| Medicare PECOS PAC ID | 8527085182 |
|---|---|
| Medicare Enrollment ID | O20100826000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053638205 | NPI | - | NPPES |
| 0083454545B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 044665 (Georgia) | Primary |
| Provider Name | Muhammad M Akmal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932269818 PECOS PAC ID: 7214051358 Enrollment ID: I20101007000523 |
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