| Personal Concierge Md, Llc | |
|
10105 Westside Parkway Suite 110 Alpharetta GA 30009 | |
| (678) 395-7046 | |
| (678) 395-3486 |
| Full Name | Personal Concierge Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10105 Westside Parkway, Alpharetta, Georgia |
| Authorized Official Name and Position | Jason Thadeous Hayes (OWNER, PRESIDENT, GENERAL MANAGER) |
| Authorized Official Contact | 6783957046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Concierge Md, Llc 11770 Haynes Bridge Road Suite 205-#305 Alpharetta GA 30009 Ph: (678) 395-7046 | Personal Concierge Md, Llc 10105 Westside Parkway Suite 110 Alpharetta GA 30009 Ph: (678) 395-7046 |
| NPI Number | 1275035578 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 07/16/2021 |
| Medicare PECOS PAC ID | 8426312042 |
|---|---|
| Medicare Enrollment ID | O20180508001167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275035578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 69293 (Georgia) | Primary |
| Provider Name | Jason T Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265625289 PECOS PAC ID: 0749377851 Enrollment ID: I20131209000308 |
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