Oscar Medical Center | |
3375 Memorial Dr Decatur GA 30032-2706 | |
(470) 355-2340 | |
(470) 355-2347 |
Full Name | Oscar Medical Center |
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Speciality | Clinic/Center |
Location | 3375 Memorial Dr, Decatur, Georgia |
Authorized Official Name and Position | Igwebuike Onyekaba (MEDICAL DIRECTOR) |
Authorized Official Contact | 4703552340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oscar Medical Center 3055 Oak Hampton Way Duluth GA 30096-5855 Ph: (470) 355-2340 | Oscar Medical Center 3375 Memorial Dr Decatur GA 30032-2706 Ph: (470) 355-2340 |
NPI Number | 1871901694 |
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Provider Enumeration Date | 07/24/2014 |
Last Update Date | 07/14/2015 |
Medicare PECOS PAC ID | 8426277260 |
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Medicare Enrollment ID | O20140910000796 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871901694 | NPI | - | NPPES |
Provider Name | Igwebuike Onyekaba |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699721605 PECOS PAC ID: 1254233430 Enrollment ID: I20040712000889 |
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