| North Fulton Healthcare Associates | |
|
1155 Hembree Rd Suite 210 Roswell GA 30076-4622 | |
| (770) 740-1753 | |
| (770) 740-8503 |
| Full Name | North Fulton Healthcare Associates |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1155 Hembree Rd, Roswell, Georgia |
| Authorized Official Name and Position | Omer L. Eubanks (PRESIDENT) |
| Authorized Official Contact | 7707401753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Fulton Healthcare Associates 1155 Hembree Rd Suite 210 Roswell GA 30076-4622 Ph: (770) 740-1753 | North Fulton Healthcare Associates 1155 Hembree Rd Suite 210 Roswell GA 30076-4622 Ph: (770) 740-1753 |
| NPI Number | 1982886248 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982886248 | NPI | - | NPPES |
| CL3877 | Other | GA | PALMETTO GBA - RAILROAD MEDICARE |
| 432850 | Other | GA | WELLCARE |
| 300028185B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 008430 (Georgia) | Primary |
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