| Medcura Health, Inc. | |
|
977 Taylor St Sw Suite 100 Conyers GA 30012-5357 | |
| (678) 210-2700 | |
| (678) 210-2703 |
| Full Name | Medcura Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 977 Taylor St Sw, Conyers, Georgia |
| Authorized Official Name and Position | Jeffrey Taylor (CEO) |
| Authorized Official Contact | 4042988998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcura Health, Inc. 770 Village Square Dr Stone Mountain GA 30083-3380 Ph: (404) 298-8998 | Medcura Health, Inc. 977 Taylor St Sw Suite 100 Conyers GA 30012-5357 Ph: (678) 210-2700 |
| NPI Number | 1811333859 |
|---|---|
| Provider Enumeration Date | 05/17/2013 |
| Last Update Date | 06/05/2021 |
| Medicare PECOS PAC ID | 2961443643 |
|---|---|
| Medicare Enrollment ID | O20150518001790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811333859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Georgia) | Primary |
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