| Peace Of Mine | |
|
2810 Peachtree Industrial Blvd Duluth GA 30097-8176 | |
| (443) 416-8899 | |
| Not Available |
| Full Name | Peace Of Mine |
|---|---|
| Speciality | General Practice |
| Location | 2810 Peachtree Industrial Blvd, Duluth, Georgia |
| Authorized Official Name and Position | Charisse Hughson-chitolie (OWNER) |
| Authorized Official Contact | 4434168899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mine 2810 Peachtree Industrial Blvd Duluth GA 30097-8176 Ph: (404) 381-1178 | Peace Of Mine 2810 Peachtree Industrial Blvd Duluth GA 30097-8176 Ph: (443) 416-8899 |
| NPI Number | 1841937133 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 09/01/2022 |
| Medicare PECOS PAC ID | 0941684286 |
|---|---|
| Medicare Enrollment ID | O20220906000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841937133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Charisse M Hughson-chitolie |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1760993760 PECOS PAC ID: 4284980277 Enrollment ID: I20180705001176 |
| Provider Name | Roshaundra C Phifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326726431 PECOS PAC ID: 3274981493 Enrollment ID: I20231129001591 |
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