| Nations Medical Clinic Inc | |
|
3099 Bredkinridge Blvd. Suite 110 Suite 110 Duluth GA 30096-1011 | |
| (678) 242-8035 | |
| (678) 373-1645 |
| Full Name | Nations Medical Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3099 Bredkinridge Blvd. Suite 110, Duluth, Georgia |
| Authorized Official Name and Position | Charles Agunobi (OWNER) |
| Authorized Official Contact | 7046749147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nations Medical Clinic Inc 3099 Bredkinridge Blvd Suite 110 Duluth GA 30096-1011 Ph: (678) 242-8035 | Nations Medical Clinic Inc 3099 Bredkinridge Blvd. Suite 110 Suite 110 Duluth GA 30096-1011 Ph: (678) 242-8035 |
| NPI Number | 1427664333 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 4183029424 |
|---|---|
| Medicare Enrollment ID | O20210824002632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427664333 | NPI | - | NPPES |
| 38161 | Other | GA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles Kanayo Agunobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609864446 PECOS PAC ID: 0749220440 Enrollment ID: I20180626000470 |
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