| Northeast Internal Medicine, P.c. | |
|
333 Alcovy St Suite 8 Monroe GA 30655-2180 | |
| (770) 267-9484 | |
| (770) 267-1600 |
| Full Name | Northeast Internal Medicine, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 Alcovy St, Monroe, Georgia |
| Authorized Official Name and Position | Marilyn Digamon-beltran (PRESIDENT CEO) |
| Authorized Official Contact | 7702679484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Internal Medicine, P.c. 333 Alcovy St Suite 8 Monroe GA 30655-2180 Ph: (770) 267-9484 | Northeast Internal Medicine, P.c. 333 Alcovy St Suite 8 Monroe GA 30655-2180 Ph: (770) 267-9484 |
| NPI Number | 1972636710 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 09/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972636710 | NPI | - | NPPES |
| 003124228A | Medicaid | GA | |
| 3692 | Other | GA | GRP PTAN |
| 027031 | Other | GA | LICENSE NUMBER |
| 1639254881 | Other | GA | NPI |
| 202I118301 | Other | GA | PTAN |
| 000299912A | Medicaid | GA | |
| 1912194960 | Other | GA | NPI |
| 065514 | Other | GA | LICENSE NUMBER |
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