| Perimeter North Internal Medicine, Pc | |
|
1265 Upper Hembree Rd. Suite 200 Roswell GA 30076-1143 | |
| (770) 442-1180 | |
| (770) 442-5824 |
| Full Name | Perimeter North Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1265 Upper Hembree Rd., Roswell, Georgia |
| Authorized Official Name and Position | James H West (PRESIDENT) |
| Authorized Official Contact | 7704421180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perimeter North Internal Medicine, Pc 1265 Upper Hembree Rd. Suite 200 Roswell GA 30076-1143 Ph: (770) 442-1180 | Perimeter North Internal Medicine, Pc 1265 Upper Hembree Rd. Suite 200 Roswell GA 30076-1143 Ph: (770) 442-1180 |
| NPI Number | 1265539647 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 12/08/2009 |
| Medicare PECOS PAC ID | 2163403957 |
|---|---|
| Medicare Enrollment ID | O20040527000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265539647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James H West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891779344 PECOS PAC ID: 6406852409 Enrollment ID: I20101202000661 |
| Provider Name | Stephen E Mikos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770566523 PECOS PAC ID: 5597937797 Enrollment ID: I20111012000497 |
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