North Atlanta Medical Clinic, L.l.c | |
3664 Club Drive, Suite 201 Lawrenceville GA 30044 | |
(678) 380-8433 | |
(678) 380-8437 |
Full Name | North Atlanta Medical Clinic, L.l.c |
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Speciality | Internal Medicine |
Location | 3664 Club Drive,, Lawrenceville, Georgia |
Authorized Official Name and Position | Victorine Mafoueka Nguena (PHYSICIAN) |
Authorized Official Contact | 7703149245 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Atlanta Medical Clinic, L.l.c 2012 Little River Drive Suwanee GA 30024 Ph: (678) 380-8433 | North Atlanta Medical Clinic, L.l.c 3664 Club Drive, Suite 201 Lawrenceville GA 30044 Ph: (678) 380-8433 |
NPI Number | 1700108784 |
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Provider Enumeration Date | 02/18/2010 |
Last Update Date | 02/18/2010 |
Medicare PECOS PAC ID | 4688715436 |
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Medicare Enrollment ID | O20101004000464 |
Identifier | Type | State | Issuer |
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1700108784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 063092 (Georgia) | Primary |
Provider Name | Victorine Mafoueka Nguena |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376717504 PECOS PAC ID: 2860533601 Enrollment ID: I20101004000518 |
Clinica Familiar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Grayson Hwy, Suite 216, Lawrenceville, GA 30045 Phone: 770-513-7711 Fax: 770-513-3352 | |
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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