Ng Clinical Services Llc | |
136 Industrial Blvd Ste A Ellijay GA 30540-3713 | |
(706) 276-6550 | |
Not Available |
Full Name | Ng Clinical Services Llc |
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Speciality | Family Medicine |
Location | 136 Industrial Blvd Ste A, Ellijay, Georgia |
Authorized Official Name and Position | Steven Purvis (OWNER/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7062736198 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ng Clinical Services Llc 136 Industrial Blvd Ste A Ellijay GA 30540-3713 Ph: (706) 276-6550 | Ng Clinical Services Llc 136 Industrial Blvd Ste A Ellijay GA 30540-3713 Ph: (706) 276-6550 |
NPI Number | 1073269536 |
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Provider Enumeration Date | 02/23/2022 |
Last Update Date | 03/18/2022 |
Medicare PECOS PAC ID | 0446645634 |
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Medicare Enrollment ID | O20220325001314 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073269536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Laura Purdy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20210923000286 |
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