New Horizons Internal Medicine Llc | |
771 Old Norcross Rd Ste 110 Lawrenceville GA 30045-4317 | |
(770) 963-5775 | |
(770) 476-4533 |
Full Name | New Horizons Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 771 Old Norcross Rd Ste 110, Lawrenceville, Georgia |
Authorized Official Name and Position | Ralph A Jackson (MBR) |
Authorized Official Contact | 7704181668 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Horizons Internal Medicine Llc 771 Old Norcross Rd Ste 110 Lawrenceville GA 30045-4317 Ph: (770) 418-1668 | New Horizons Internal Medicine Llc 771 Old Norcross Rd Ste 110 Lawrenceville GA 30045-4317 Ph: (770) 963-5775 |
NPI Number | 1932355294 |
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Provider Enumeration Date | 08/18/2008 |
Last Update Date | 02/24/2011 |
Medicare PECOS PAC ID | 1850434739 |
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Medicare Enrollment ID | O20100201000120 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932355294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ralph A Jackson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558467043 PECOS PAC ID: 7012050990 Enrollment ID: I20100201000432 |
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Raymond L. Stovall, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 | |
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Bennett H. Bruckner,m.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 | |
Metabolic Health Of Lawrenceville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 Old Snellville Hwy Ste 150, Lawrenceville, GA 30044 Phone: 678-431-1119 | |
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