| Newtown Park Medical Clinic And Geriatrics Llc | |
|
2880 Old Alabama Rd #300 Johns Creek GA 30022-5033 | |
| (470) 299-3991 | |
| (470) 299-3998 |
| Full Name | Newtown Park Medical Clinic And Geriatrics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2880 Old Alabama Rd #300, Johns Creek, Georgia |
| Authorized Official Name and Position | Sudha Challa (ORGANIZER) |
| Authorized Official Contact | 6785455080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newtown Park Medical Clinic And Geriatrics Llc 2880 Old Alabama Rd #300 Johns Creek GA 30022-5033 Ph: (470) 299-3991 | Newtown Park Medical Clinic And Geriatrics Llc 2880 Old Alabama Rd #300 Johns Creek GA 30022-5033 Ph: (470) 299-3991 |
| NPI Number | 1558916056 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 08/13/2019 |
| Medicare PECOS PAC ID | 3870825896 |
|---|---|
| Medicare Enrollment ID | O20191024001236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558916056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Samuel Deutsch |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538262167 PECOS PAC ID: 6406913383 Enrollment ID: I20111118000108 |
| Provider Name | Sudha Challa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871756627 PECOS PAC ID: 1850574609 Enrollment ID: I20140403000824 |
Mind And Body Wellness Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10475 Medlock Bridge Rd Ste 820, Johns Creek, GA 30097 Phone: 404-800-5181 Fax: 404-800-5797 | |
Duluth Surgery Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6620 Mcginnis Ferry Rd, Johns Creek, GA 30097 Phone: 678-205-8400 | |
North Georgia Endocrinology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10475 Medlock Bridge Rd Ste 820, Johns Creek, GA 30097 Phone: 678-224-8686 | |
North Chattahoochee Family Physicians, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097 Phone: 770-497-1555 Fax: 770-497-9998 | |
Health One Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10710 Medlock Bridge Rd, Suite 150, Johns Creek, GA 30097 Phone: 770-497-4188 Fax: 770-497-4189 | |
Naveed S Ummed., M.d. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5805 State Bridge Rd, G150, Johns Creek, GA 30097 Phone: 602-738-8903 | |
Lt Medical Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 Matheson Way, Johns Creek, GA 30022 Phone: 800-809-6588 |