| Paces Ferry Medical Group Pc | |
|
3193 Howell Mill Rd Ste 223 Paces Ferry Medical Group Pc Atlanta GA 30327 | |
| (404) 351-5262 | |
| (404) 350-8873 |
| Full Name | Paces Ferry Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3193 Howell Mill Rd, Atlanta, Georgia |
| Authorized Official Name and Position | Alvin Hall (DIRECTOR) |
| Authorized Official Contact | 4043515262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paces Ferry Medical Group Pc Po Box 250029 Atlanta GA 30325 Ph: (404) 351-5262 | Paces Ferry Medical Group Pc 3193 Howell Mill Rd Ste 223 Paces Ferry Medical Group Pc Atlanta GA 30327 Ph: (404) 351-5262 |
| NPI Number | 1497827844 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 04/12/2019 |
| Medicare PECOS PAC ID | 4880680123 |
|---|---|
| Medicare Enrollment ID | O20040422000801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497827844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy A Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598836173 PECOS PAC ID: 9931289048 Enrollment ID: I20120228000240 |
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