| North Georgia Osteoporosis Center | |
|
1192 Buckhead Xing Suite E Woodstock GA 30189-4254 | |
| (678) 494-4450 | |
| (678) 494-6265 |
| Full Name | North Georgia Osteoporosis Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1192 Buckhead Xing, Woodstock, Georgia |
| Authorized Official Name and Position | Bram Wieskopf (PRESIDENT) |
| Authorized Official Contact | 6784944450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Georgia Osteoporosis Center 1192 Buckhead Xing Suite E Woodstock GA 30189-4254 Ph: (678) 494-4450 | North Georgia Osteoporosis Center 1192 Buckhead Xing Suite E Woodstock GA 30189-4254 Ph: (678) 494-4450 |
| NPI Number | 1619996907 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 02/01/2018 |
| Medicare PECOS PAC ID | 0446242903 |
|---|---|
| Medicare Enrollment ID | O20040402000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619996907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Catherine M Meredith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063448363 PECOS PAC ID: 6709837305 Enrollment ID: I20050201000368 |
| Provider Name | Thomas B Obarr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255334033 PECOS PAC ID: 1557314788 Enrollment ID: I20050228000456 |
| Provider Name | Bram D Wieskopf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164472577 PECOS PAC ID: 5698767150 Enrollment ID: I20101122001241 |
| Provider Name | Latoya Etheridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972762821 PECOS PAC ID: 2466625843 Enrollment ID: I20160106000690 |
| Provider Name | Christopher James Cottle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740647312 PECOS PAC ID: 4082919733 Enrollment ID: I20160218000762 |
| Provider Name | Ruby Appiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568717528 PECOS PAC ID: 9537459904 Enrollment ID: I20160526001885 |
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